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1396990644
JILA TAHMASEBI-BOLDAJI
VIENNA, VA
NPI
1396990644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401412302)
Enumeration Date
2008-11-27
Last Update Date
2008-11-27
Business Address
-- JILA TAHMASEBI-BOLDAJI DDS
8212 OLD COURTHOUSE RD
VIENNA, VA 22182-3821
Phone number: 240-731-3768
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Mailing Address
-- JILA TAHMASEBI-BOLDAJI DDS
8212 OLD COURTHOUSE RD
VIENNA, VA 22182-3821
Phone number: 240-731-3768
Copy
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