Individual
RABEE ITMAIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3701 S GEORGE MASON DR UNIT C7N, FALLS CHURCH, VA 22041-4722
(703) 998-8826
(703) 998-8828
Mailing address
1040 DULANEY MILL DR, FREDERICK, MD 21702-6227
(240) 409-5010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417606
VA
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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