Individual
DR. FATHIMA H FIRDOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1574 ONYX DR, UNIT 105, MC LEAN, VA 22102-3958
(443) 850-9354
Mailing address
1574 ONYX DR, UNIT 105, MC LEAN, VA 22102-3958
(443) 850-9354
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412333
VA
Other
Enumeration date
11/28/2008
Last updated
04/26/2010
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