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Individual

PEJMAN GHORBANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
6050 BURKE COMMONS RD STE D, BURKE, VA 22015-2878
(703) 250-5072
(703) 250-5149
Mailing address
6050 BURKE COMMONS RD STE D, BURKE, VA 22015-2878
(703) 250-5072
(703) 250-5149

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413261
VA
1223G0001X
General Practice Dentistry
DEN1001029
DC

Other

Enumeration date
08/03/2011
Last updated
05/20/2015
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