Individual
MR. FAROOQ AHMAD MUGHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
6128 TRIDENT LN, WOODBRIDGE, VA 22193-4117
(703) 408-4088
(703) 590-9237
Mailing address
6128 TRIDENT LN, WOODBRIDGE, VA 22193-4117
(703) 590-9237
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402203148
VA
124Q00000X
Dental Hygienist
HYG1000420
DC
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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