Individual
DR. VIDUR JORDAN KATYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8314 TRAFORD LN STE A, WEST SPRINGFIELD, VA 22152-1661
(703) 451-0502
Mailing address
8314 TRAFORD LN STE A, WEST SPRINGFIELD, VA 22152-1661
(703) 451-0502
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401415951
VA
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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