Organization
SEA DENTAL GROUP PLLC
Active
Other names
America Anesthesia Partners PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALAR EBRAHIMI DDS (PRESIDENT)
(818) 800-2221
Entity
Organization
Contact information
Practice address
11934 W BROAD ST STE 120, HENRICO, VA 23233-1100
(818) 800-2221
Mailing address
17113 BOLD VENTURE DR, LEESBURG, VA 20176-7169
(818) 800-2221
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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