Individual
DR. HILARY KEITH PANDAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11208 WAPLES MILL RD, SUITE #101, FAIRFAX, VA 22030-6077
(703) 691-1511
Mailing address
11208 WAPLES MILL RD, SUITE #101, FAIRFAX, VA 22030-6077
(703) 691-1511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006507
VA
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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