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Provider Information for 1275971954



DR. RAMI TAHHAN D.D.S.

Gender: MALE

Individual NPI: 1275971954

Calendar Last Updated: 2013-06-04

Details

Name Value
NPI 1275971954
Enumeration Date 2013-06-04
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 8310 OLD COURTHOUSE ROAD
VIENNA, VA 22182
United States

Phone: 703-229-9991 | Fax:
View Map External Link
Primary Practice Address 8310 OLD COURTHOUSE ROAD
VIENNA, VA 22182
United States

Phone: 703-229-9991 | Fax:
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist VA 0401414037
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location