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Individual

XIN ZHAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PREVENTIVE DENTAL

Contact information

Practice address
401 CARPENTER RD BLDG 525, FORT MYER, VA 22211-1009
(804) 637-4943
Mailing address
401 CARPENTER RD BLDG 525, FORT MYER, VA 22211-1009

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
126800000X
Dental Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000000
PREVENTIVE DENTAL HYGIENIST
Enumeration date
08/29/2022
Last updated
01/23/2023
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