Provider Demographics
NPI:1225306921
Name:OAKTON DENTAL CENTER, PLLC
Entity Type:Organization
Organization Name:OAKTON DENTAL CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABBAS
Authorized Official - Middle Name:
Authorized Official - Last Name:AHRABI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-938-3405
Mailing Address - Street 1:POBOX 3650
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-9650
Mailing Address - Country:US
Mailing Address - Phone:703-938-3405
Mailing Address - Fax:703-938-1460
Practice Address - Street 1:2969 CHAIN BRIDGE RD
Practice Address - Street 2:
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-3007
Practice Address - Country:US
Practice Address - Phone:703-938-3405
Practice Address - Fax:703-938-1460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty