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NPI Code Detail

MEDICARE: SARA ABOLAHRARI DDS

MEDICARE:   SARA  ABOLAHRARI  DDS
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
1122300000XDentist0401411860VA

General Provider Information

NPI Number : 1639366768
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ABOLAHRARI DDS
Provider Business Mailing Address
First Line : 1536 W. LITTLE NECK RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452
Country : US
Telephone Number : 757-351-9483
Fax Number :
Provider Business Practice Location Address
First Line : 1536 W LITTLE NECK RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-4738
Country : US
Telephone Number : 757-463-5658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2007
Last Update Date : 03/15/2013

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Directions to “ SARA ABOLAHRARI DDS” Practice Location

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