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Individual

DR. SAMER K KHATTAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
9010 LORTON STATION BLVD, 135, LORTON, VA 22079-4792
(210) 430-2740
Mailing address
9010 LORTON STATION BLVD, 135, LORTON, VA 22079-4792
(210) 430-2740

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413570
VA

Other

Enumeration date
06/20/2012
Last updated
01/10/2016
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