Individual
DR. SALAR EBRAHIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
430 HARRISON ST SE, LEESBURY, VA 20175
(571) 510-3034
(571) 510-3036
Mailing address
430 HARRISON ST SE, LEESBURY, VA 20175
(571) 510-3034
(571) 510-3036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416563
VA
Other
Enumeration date
01/27/2019
Last updated
01/20/2022
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