Individual
FARIDA GUL KHATTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9439 LEE HWY, FAIRFAX, VA 22031-1802
(303) 990-0007
Mailing address
9439 LEE HWY, FAIRFAX, VA 22031-1802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412386
VA
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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