Individual
DR. IZZA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
901 N WASHINGTON ST STE 202, ALEXANDRIA, VA 22314-1535
(703) 686-8769
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418602
VA
Other
Enumeration date
03/27/2023
Last updated
09/22/2023
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