Individual
SUNNA BASHIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9901 FAIRFAX BLVD, FAIRFAX, VA 22030-1740
(703) 348-4216
Mailing address
6307 KNOLLS POND LN, FAIRFAX STATION, VA 22039-1654
(703) 463-6148
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401417578
VA
1223P0221X
Pediatric Dentistry
DS043199
PA
Other
Enumeration date
06/08/2021
Last updated
08/03/2023
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