Organization
AYESHA SULTAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYESHA SULTAN DDS (DENTIST)
(703) 220-9984
Entity
Organization
Contact information
Practice address
6312 HOADLY RD, MANASSAS, VA 20112-3422
(703) 220-9984
Mailing address
14260 HOLLY GLEN CT, MANASSAS, VA 20112-7011
(703) 220-9984
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
0401412555
VA
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
Update your record
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