Individual
DR. BANA AL HAYDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS,MS
Contact information
Practice address
609 JEFFERSON DAVIS HWY STE 101, FREDERICKSBURG, VA 22401-4566
(540) 373-3066
Mailing address
5500 39TH ST NW, WASHINGTON, DC 20015-2904
(202) 823-8580
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401417657
VA
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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