Farida Gul Khattak, | |
9439 Lee Hwy, Fairfax, VA 22031-1802 | |
(303) 990-0007 | |
Not Available |
Full Name | Farida Gul Khattak |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 9439 Lee Hwy, Fairfax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841430873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0401412386 (Virginia) | Primary |
Entity Name | Dynamic Dental Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750669883 PECOS PAC ID: 1759550502 Enrollment ID: O20110811000515 |
Mailing Address | Practice Location Address |
---|---|
Farida Gul Khattak, 9439 Lee Hwy, Fairfax, VA 22031-1802 Ph: () - | Farida Gul Khattak, 9439 Lee Hwy, Fairfax, VA 22031-1802 Ph: (303) 990-0007 |
Dr. David Paul Sibley, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3700 Joseph Siewick Dr, Suite #307, Fairfax, VA 22033 Phone: 703-715-9227 Fax: 703-715-9229 | |
Dr. Dominique Bonner, DDS Dentist Medicare: Medicare Enrolled Practice Location: 9547a Fairfax Blvd, Fairfax, VA 22031 Phone: 703-520-9985 | |
Dr. Rita El Khoury, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11050 Us-29, Fairfax, VA 22030 Phone: 703-520-6376 | |
Robert Byron Johnson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10640 Main St, #300, Fairfax, VA 22030 Phone: 703-246-9355 | |
Dr. Nathan Chulwon Lee, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3611 Chain Bridge Rd Ste B, Fairfax, VA 22030 Phone: 703-273-8450 Fax: 703-273-8354 | |
Dr. Manmeet Kour, DMD Dentist Medicare: Medicare Enrolled Practice Location: 3903 Fair Ridge Dr Ste 207, Fairfax, VA 22033 Phone: 703-385-2772 | |
Dr. Hieu Phuong Nguyen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 8303 Arlington Blvd, 107, Fairfax, VA 22031 Phone: 703-226-2222 |