Individual
DARAKSHAN FATMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3728 CRAIN HWY UNIT 105, WALDORF, MD 20603-4888
(240) 448-2634
Mailing address
1716 M ST NE, WASHINGTON, DC 20002-2008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17794
MD
1223G0001X
General Practice Dentistry
DEN2000147
DC
Other
Enumeration date
07/19/2022
Last updated
11/16/2022
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