Dr. Desiree A Bagheri, D.D.S.
Dentist in Charlottesville, VA. Individual provider (NPI-1).
NPI number1578636239
StatusActive
Last updated in NPPESOct 20, 2014
Details
- NPI
- 1578636239
- Entity type
- Individual (NPI-1)
- Name
- Dr. Desiree A Bagheri
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2006
- Last updated
- Oct 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 0401410063 | VA | Yes |
Practice location
300 Hickman RdSuite 201
Charlottesville, VA 22911
Phone 434-923-0303 · Fax 434-923-0305
Mailing address
300 Hickman Rd.Suite 201
Charlottesville, VA 22911
Phone 434-923-0303 · Fax 434-923-0305
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