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Contact Information

EBRAHIM H BARADARAN, DMD
100 W MAIN ST
BERRYVILLE, VA22611-1242
 Phone: 804-651-1515
 Fax: 540-955-4158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for EBRAHIM H BARADARAN · (Male)

NPI Number 1477745396
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 08/14/2007
Last updated 08/14/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0401410423
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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