Individual
DOUGLAS HARRY MAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10610B CRESTWOOD DRIVE, MANASSAS, VA 20109
(703) 392-8844
(703) 365-0123
Mailing address
10610B CRESTWOOD DRIVE, MANASSAS, VA 20109
(703) 392-8844
(703) 365-0123
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401008581
VA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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