Provider Demographics
NPI:1063619252
Name:PASS, BARRY (DDS)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:
Last Name:PASS
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1501 CRYSTAL DR
Mailing Address - Street 2:SUITE 629
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-4121
Mailing Address - Country:US
Mailing Address - Phone:703-489-0252
Mailing Address - Fax:703-413-0554
Practice Address - Street 1:2021 K ST NW
Practice Address - Street 2:SUITE 200
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:202-293-9729
Practice Address - Fax:703-413-0554
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCDEN10003031223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology