Individual
DR. MARIAM ABDELRAZIG KHATEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
238 POTOMAC AVE, QUANTICO, VA 22134-3459
(703) 640-1000
(703) 630-2526
Mailing address
5200 LYNGATE CT, BURKE, VA 22015-1631
(703) 978-1903
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401400753
VA
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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