Individual
LANA KAMARAN FUAD MASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8316 ARLINGTON BLVD STE 226, FAIRFAX, VA 22031-5216
(703) 560-6301
Mailing address
8316 ARLINGTON BLVD STE 226, FAIRFAX, VA 22031-5216
(571) 599-5752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419106
VA
Other
Enumeration date
05/11/2023
Last updated
03/02/2025
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