DR. Maya Bassam Bachour, D.D.S.

NPI #1700029279 in Ashburn, Virginia

Provider Information

NPI Number: 1700029279
Entity Type: Individual
Name: DR. Maya Bassam Bachour, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 14, 2009
Last Updated: Dec 26, 2018

Practice Location

Address: 20405 EXCHANGE ST STE 201
City: Ashburn
State: Virginia
ZIP Code: 20147-5934
Phone: (703) 297-4407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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