Individual
AYEFA SALEEM DURRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 ELDEN ST, HERNDON, VA 20170-4741
(703) 464-0000
Mailing address
162 LAUREL WAY, APT 2A, HERNDON, VA 20170-4427
(203) 638-4341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414378
VA
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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