Individual
DIANA WAHID FARAG ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6354 WALKER LN STE 103, ALEXANDRIA, VA 22310-3242
(657) 259-7398
Mailing address
8716 CALVERT CLIFF CT, LORTON, VA 22079-3027
(657) 259-7398
(657) 259-7398
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419709
VA
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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