Kanbaragha DDS Pllc

NPI #1396212254 in Vienna, Virginia

Provider Information

NPI Number: 1396212254
Entity Type: Organization
Organization Name: Kanbaragha DDS Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 30, 2018
Last Updated: Oct 30, 2018

Practice Location

Address: 8300 BOONE BLVD
Address 2: SUITE 140
City: Vienna
State: Virginia
ZIP Code: 22182
Phone: (703) 714-7374

Authorized Official

Name: JEFF LIM
Title: OFFICE MANAGER
Phone: (703) 714-7374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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