Individual
JAWAD RASOOL CHAUDHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
112 FALCON DR # 1931, FREDERICKSBURG, VA 22408-1931
(540) 898-8805
Mailing address
6717 SWINDON PL, MANASSAS, VA 20112-5569
(703) 608-0721
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416580
VA
Other
Enumeration date
04/15/2019
Last updated
11/17/2020
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