Individual
LANA QAQISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
34 JEFFERSON CT, ZION CROSSROADS, VA 22942-9602
(540) 832-3232
Mailing address
2229 BOARDMAN LN, HENRICO, VA 23238-3742
(804) 517-4930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417504
VA
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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