Organization
DEENA HADITHI DMD, PC.
Active
Other names
General Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEENA HADITHI DMD (PRESIDENT)
(703) 644-7300
Entity
Organization
Contact information
Practice address
7210 OLD KEENE MILL RD STE 3, SPRINGFIELD, VA 22150-3442
(703) 644-7300
(703) 866-4319
Mailing address
7210 OLD KEENE MILL RD STE 3, SPRINGFIELD, VA 22150-3442
(703) 644-7300
(703) 866-4319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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