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Contact Information

BABAK RAZMAZMA, DDS
11654 PLAZA AMERICA DR # 163
RESTON, VA20190-4700
 Phone: 818-822-2278
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist Anesthesiologist

1223D0004X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BABAK RAZMAZMA · (Male)

NPI Number 1689839409
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/21/2008
Last updated 10/26/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 57316
  • VA License # 0401415377
  • VA License # 0447000074
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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