DR. Samer K Khattab, DDS

NPI #1013270594 in Lorton, Virginia

Provider Information

NPI Number: 1013270594
Entity Type: Individual
Name: DR. Samer K Khattab, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 20, 2012
Last Updated: Jan 10, 2016

Practice Location

Address: 9010 LORTON STATION BLVD
Address 2: 135
City: Lorton
State: Virginia
ZIP Code: 22079-4792
Phone: (210) 430-2740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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