Organization
POTOMAC DERMATOLOGY AND SKINCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILY TALAKOUB MD (OWNER)
(703) 626-3648
Entity
Organization
Contact information
Practice address
9812 FALLS RD STE 124, POTOMAC, MD 20854-3976
(703) 356-1111
Mailing address
6849 OLD DOMINION DR STE 450, MC LEAN, VA 22101-3718
(703) 626-3648
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
04/22/2022
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