Organization
SEA DENTAL GROUP PLLC
Active
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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