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Individual

LEENA KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5330 SANDY POINT LN, CLIFTON, VA 20124-0942
(703) 994-3424
Mailing address
5330 SANDY POINT LN, CLIFTON, VA 20124-0942
(703) 994-3424

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN2000051
DC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/10/2020
Last updated
10/27/2021
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