Organization
BRUCE TAHERI, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TAHERI DDS (DENTIST/OWNER)
(202) 528-1820
Entity
Organization
Contact information
Practice address
3114 GOLANSKY BLVD, SUITE 102, WOODBRIDGE, VA 22192-4231
(703) 583-2800
(703) 583-2801
Mailing address
3114 GOLANSKY BLVD, SUITE 102, WOODBRIDGE, VA 22192-4231
(703) 583-2800
(703) 583-2801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410248
VA
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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