ANDREW LOREN BETAHARON

ANNANDALE, VA
NPI1659509453
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MD  14644)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: VA  0401412823)
Enumeration Date2009-06-30
Last Update Date2016-03-18
Business Address
-- ANDREW LOREN BETAHARON DDS
8400 KAY CT
ANNANDALE, VA 22003-2206
Phone number: 240-338-5995
Mailing Address
-- ANDREW LOREN BETAHARON DDS
8400 KAY CT
ANNANDALE, VA 22003-2206
Phone number: 240-338-5995