Individual
KAWAL R SASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14393 HEREFORD RD, WOODBRIDGE, VA 22193-2107
(703) 670-8400
Mailing address
14393 HEREFORD RD, WOODBRIDGE, VA 22193-2107
(703) 670-8400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411761
VA
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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