Individual
FIZZA GULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
313 PARK AVE STE G12, FALLS CHURCH, VA 22046-3328
(571) 354-7221
Mailing address
313 PARK AVE STE G12, FALLS CHURCH, VA 22046-3328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1002135
DC
Other
Enumeration date
05/14/2020
Last updated
11/20/2024
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