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Organization
DEENA HADITHI DMD, PC.
Active
Organization
DEENA HADITHI DMD, PC.
Active
Other names
General Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEENA HADITHI DMD (PRESIDENT)
(703) 644-7300
Entity
Organization
Contact information
Practice address
7210 OLD KEENE MILL RD STE 3, SPRINGFIELD, VA 22150-3442
(703) 644-7300
(703) 866-4319
Mailing address
7210 OLD KEENE MILL RD STE 3, SPRINGFIELD, VA 22150-3442
(703) 644-7300
(703) 866-4319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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