| Khattab Uthman Dental Associates | |
|
14338 Gideon Dr, Woodbridge VA 22192-4640 | |
| (703) 372-5665 | |
| Not Available |
| Full Name | Khattab Uthman Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14338 Gideon Dr,, Woodbridge, Virginia |
| Authorized Official Name and Position | Samer Khattab (CONSULTANT) |
| Authorized Official Contact | 7033488070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khattab Uthman Dental Associates 6723 Dorothy Giles Ct Alexandria VA 22315-6050 Ph: () - | Khattab Uthman Dental Associates 14338 Gideon Dr, Woodbridge VA 22192-4640 Ph: (703) 372-5665 |
| NPI Number | 1114378544 |
|---|---|
| Provider Enumeration Date | 06/27/2016 |
| Last Update Date | 05/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114378544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401414531 (Virginia) | Secondary |
| 1223G0001X | Dentist - General Practice | 0401413570 (Virginia) | Primary |
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