Individual
WAHN KHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11866 SUNRISE VALLEY DR STE 101, RESTON, VA 20191-3316
(703) 648-0500
(703) 648-1500
Mailing address
11866 SUNRISE VALLEY DR STE 101, RESTON, VA 20191-3316
(703) 648-0500
(703) 648-1500
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401-008968
VA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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