Individual
RUQAYA LILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 DEWITT RD, STAFFORD, VA 22554-8844
(484) 849-8000
Mailing address
18 DEWITT RD, STAFFORD, VA 22554-8844
(484) 849-8000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.035527
IL
1223X2210X
Orofacial Pain Dentistry
Primary
019.035527
IL
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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