Individual
YAMA S SULTANZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2070 OLD BRIDGE RD, #201, WOODBRIDGE, VA 22192
(703) 499-9902
(703) 499-9903
Mailing address
9017 ADVANTAGE CT, BURKE, VA 22015
(703) 966-2153
(703) 499-9903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410702
VA
1223G0001X
General Practice Dentistry
12998
MD
1223G0001X
General Practice Dentistry
DEN1000290
DC
Other
Enumeration date
12/09/2006
Last updated
03/07/2023
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