Individual
LAZOKAT KOMILOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2719 WASHINGTON BLVD, ARLINGTON, VA 22201-1942
(703) 243-1810
Mailing address
2719 WASHINGTON BLVD, ARLINGTON, VA 22201-1942
(703) 243-1810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418417
VA
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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