Organization
FAMILY DENTISTRY OF FAIRFAX, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEHREEM BUTT DDS (DENTIST)
(703) 273-7999
Entity
Organization
Contact information
Practice address
10391 DEMOCRACY LN, STE A, FAIRFAX, VA 22030-2581
(703) 273-7999
(703) 273-7997
Mailing address
10391 DEMOCRACY LN, STE A, FAIRFAX, VA 22030-2581
(703) 273-7999
(703) 273-7997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411341
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191779
—
VA
Enumeration date
11/09/2008
Last updated
11/09/2008
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