Organization
BABAK RAZMAZMA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK RAZMAZMA DDS (OWNER)
(818) 822-2278
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
0401415377
VA
1223D0004X
Dental Anesthesiology
DEN1001688
DC
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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