Individual
BUSHRA A BHATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
10611 BRADDOCK RD, FAIRFAX, VA 22032-2201
(703) 543-4728
Mailing address
322 NUTLEY ST SW, VIENNA, VA 22180-6250
(919) 923-2782
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401413294
VA
Other
Enumeration date
08/08/2011
Last updated
08/09/2024
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