Individual
DR. AYESHA SULTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
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
1223G0001X
General Practice Dentistry
Primary
0401412555
VA
Other
Enumeration date
10/16/2011
Last updated
10/16/2011
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