Organization
SANCTUARY ORAL MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDUL KHATTAB (DIRECTOR)
(703) 893-3937
Entity
Organization
Contact information
Practice address
1650 TYSONS BLVD STE 100, MC LEAN, VA 22102-4880
(703) 893-3937
(215) 243-7546
Mailing address
1650 TYSONS BLVD STE 100, MC LEAN, VA 22102-4880
(703) 893-3937
(215) 243-7546
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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