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General NPI Number Information
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NPI Number | 1063619252
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Entity Type | Individual
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Provider Name | BARRY PASS DDS
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Gender | Male
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2021 K ST NW SUITE 200
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City | WASHINGTON
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State | DC
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Zip | 20006-1003
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Country | US
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Telephone | 202-293-9729
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Fax | 703-413-0554
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Provider Business Mailing Address
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Address Line | 1501 CRYSTAL DR SUITE 629
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City | ARLINGTON
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State | VA
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Zip | 22202-4121
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Country | US
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Telephone | 703-489-0252
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Fax | 703-413-0554
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0008X
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Taxonomy Name | Oral and Maxillofacial Radiology Dentistry
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License Number | DEN1000303
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License Number State | DC
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