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Contact Information

IDEEN BAGHA
6428 GEORGIA AVE NW
WASHINGTON, DC20012-2910
 Phone: 202-723-0303
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for IDEEN BAGHA · (Male)

NPI # 1104442052
Status Active
Credentials
Entity Individual
Enumeration date 06/16/2020
Last updated 07/28/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • DC License # 1002141
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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