Individual
DR. BABAK RAZMAZMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11654 PLAZA AMERICA DR # 163, RESTON, VA 20190-4700
(818) 822-2278
Mailing address
11654 PLAZA AMERICA DR # 163, RESTON, VA 20190-4700
(818) 822-2278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401415377
VA
122300000X
Dentist
57316
CA
1223D0004X
Dental Anesthesiology
Primary
0447000074
VA
1223D0004X
Dental Anesthesiology
57316
CA
Other
Enumeration date
07/21/2008
Last updated
10/26/2016
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