Individual
FIZZAH ZAHIR GOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
14165 ROBERT PARIS CT., SUITE A, CHANTILLY, VA 20151
(703) 378-9600
(703) 378-3337
Mailing address
14165 ROBERT PARIS CT., SUITE A, CHANTILLY, VA 20151
(703) 378-9600
(703) 378-3337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411597
VA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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