Individual
DR. MALIK MUHAMMAD USMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8559 SUDLEY RD, MANASSAS, VA 20110-3811
(571) 350-9292
(703) 257-7103
Mailing address
5615 WEBSTERS WAY, MANASSAS, VA 20112-3489
(240) 505-2012
(703) 257-7103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413042
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811340599
—
VA
Enumeration date
07/03/2008
Last updated
03/01/2021
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