Individual
SUMRA AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5645 COLUMBIA PIKE, FALLS CHURCH, VA 22041-2867
(703) 409-5139
Mailing address
5645 COLUMBIA PIKE, FALLS CHURCH, VA 22041-2867
(703) 409-5139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415288
VA
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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