Individual
DR. MAIDAH FAROOQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12423 EDEN LN, WOODBRIDGE, VA 22192-6337
(703) 608-2909
Mailing address
12423 EDEN LN, WOODBRIDGE, VA 22192-6337
(703) 608-2909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417076
VA
Other
Enumeration date
05/30/2020
Last updated
07/26/2020
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