Individual
ZOHRA MADAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5630 PLANK RD, FREDERICKSBURG, VA 22407-6641
(540) 548-3602
Mailing address
7635 INISHMORE CT, SPRINGFIELD, VA 22153-3106
(703) 965-0389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417849
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2021
Last updated
06/29/2022
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