Individual
SOFIYA WALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3604 FOREST DR, ALEXANDRIA, VA 22302-1005
(703) 379-9292
(703) 379-5559
Mailing address
3604 FOREST DR, ALEXANDRIA, VA 22302-1005
(703) 379-9292
(703) 379-5559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401102580
VA
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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