Individual
DR. LAN D DUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 W STRETT NW, WASHINGTON, DC 20059-4229
(202) 806-6100
Mailing address
2919 HIDEAWAY RD, FAIRFAX, VA 22031-1310
(571) 215-1529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DRN5780
DC
Other
Enumeration date
03/21/2007
Last updated
01/04/2025
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