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Individual

DR. ANTARA D DARU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
4660 KENMORE AVE STE 300, ALEXANDRIA, VA 22304-1306
(703) 823-2422
Mailing address
4660 KENMORE AVE STE 300, ALEXANDRIA, VA 22304-1306
(703) 823-2422
(703) 823-2489

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401412906
VA

Other

Enumeration date
09/15/2010
Last updated
05/26/2021
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