Organization
DRS BACHOUR & CHURCH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYA BACHOUR (PARTNER)
(919) 360-1763
Entity
Organization
Contact information
Practice address
20405 EXCHANGE ST, SUITE 201, ASHBURN, VA 20147-5909
(703) 464-0868
Mailing address
8045 LEESBURG PIKE FL 5, VIENNA, VA 22182-2737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411337
VA
Other
Enumeration date
10/07/2013
Last updated
10/08/2013
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