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NPI Code Detail

MEDICARE: SUZAN DEHBASHI

MEDICARE:   SUZAN  DEHBASHI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDDS104506CA

General Provider Information

NPI Number : 1437610821
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZAN DEHBASHI
Provider Business Mailing Address
First Line : 7920 LEWINSVILLE RD
Second Line :
City : MC LEAN
State : VA
Zip : 22102-2407
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4201 WILSON BLVD
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-4417
Country : US
Telephone Number : 212-686-3686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2019
Last Update Date : 01/30/2026

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Directions to “ SUZAN DEHBASHI ” Practice Location

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