Individual
FARIHAH KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7806 CENTREVILLE RD, MANASSAS, VA 20111-2231
(703) 368-1166
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417423
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2020
Last updated
08/15/2022
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