Provider Demographics
NPI:1558404590
Name:ABTAHI, NARJES (DDS)
Entity Type:Individual
Prefix:DR
First Name:NARJES
Middle Name:
Last Name:ABTAHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19420 GOLF VISTA PLAZA
Mailing Address - Street 2:SUITE # 210
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-8267
Mailing Address - Country:US
Mailing Address - Phone:703-724-0015
Mailing Address - Fax:703-724-0016
Practice Address - Street 1:19420 GOLF VISTA PLAZA
Practice Address - Street 2:SUITE # 210
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-8267
Practice Address - Country:US
Practice Address - Phone:703-724-0015
Practice Address - Fax:703-724-0016
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014107951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice