Individual
BEHROOZ TAHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3114 GOLANSKY BLVD, WOODBRIDGE, VA 22192-4231
(703) 583-2800
(703) 583-2800
Mailing address
4012 TIMBER OAK TRL, FAIRFAX, VA 22033-6222
(202) 528-1820
(703) 583-2801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10248
VA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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