Individual
DR. CAMRON FAKHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
2425 OLD BRICK RD APT 4330, GLEN ALLEN, VA 23060-6003
(904) 210-5472
Mailing address
2425 OLD BRICK RD APT 4330, GLEN ALLEN, VA 23060-6003
(904) 210-5472
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401417069
VA
Other
Enumeration date
04/08/2014
Last updated
05/26/2021
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