Individual
FARRAH ALKELIDDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 ELDEN ST, 2C3, HERNDON, VA 20170-4875
(571) 441-2944
Mailing address
171 ELDEN ST, 2C3, HERNDON, VA 20170-4875
(571) 441-2944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412125
VA
Other
Enumeration date
02/07/2010
Last updated
07/19/2016
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