Individual
DR. MAYA BASSAM BACHOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
20405 EXCHANGE ST STE 201, ASHBURN, VA 20147-5934
(703) 297-4407
Mailing address
20405 EXCHANGE ST STE 201, ASHBURN, VA 20147-5934
(703) 297-4407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411337
VA
Other
Enumeration date
04/14/2009
Last updated
12/26/2018
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