Most Relevant Information
Provider Data
| NPI Number: | 1003593542 |
| Provider Name: | THAMEANEH TABATABAEIFAR DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DEN2000282 |
Most Important Dates
| Enumeration Date: | 06/28/2023 |
| Last Updated: | 06/28/2023 |
Provider Practice Location
5225 WISCONSIN AVE NW STE 511
WASHINGTON
DC
200152024
Practice Location Phone/Fax
| Phone: | 2029660620 |
| Fax: |
Provider Mailing Location
5 WEBB RD
CABIN JOHN
MD
208181807
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |