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Organization
FAMILY DENTISTRY OF FAIRFAX, P. C.
Active
Organization
FAMILY DENTISTRY OF FAIRFAX, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEHREEM BUTT DDS (DENTIST)
(703) 273-7999
Entity
Organization
Contact information
Practice address
10391 DEMOCRACY LN, STE A, FAIRFAX, VA 22030-2581
(703) 273-7999
(703) 273-7997
Mailing address
10391 DEMOCRACY LN, STE A, FAIRFAX, VA 22030-2581
(703) 273-7999
(703) 273-7997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411341
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191779
—
VA
Enumeration date
11/09/2008
Last updated
11/09/2008
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