Individual
DR. KIARASH SABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
47640 PAULSEN SQ, STERLING, VA 20165-5193
(571) 348-4090
Mailing address
47640 PAULSEN SQ, STERLING, VA 20165-5193
(571) 348-4090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414581
VA
1223G0001X
General Practice Dentistry
DEN1001447
DC
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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