Individual
FARIYA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7501 LITTLE RIVER TPKE, ANNANDALE, VA 22003
(703) 535-5568
Mailing address
7501 LITTLE RIVER TPKE, ANNANDALE, VA 22003-2997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416587
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2019
Last updated
10/21/2019
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