Individual provider · Type 1 NPI
Bana Al Haydar, DDS, MS
Periodontics · Fredericksburg, VA
NPI number
1811669203
Active
Practice location
609 Jefferson Davis Hwy Ste 101
Fredericksburg, VA 22401-4566
Mailing address
5500 39th St NW
Washington, DC 20015-2904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 0401417657 (VA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1811669203
Bana Al Haydar, DDS, MS's National Provider Identifier is 1811669203, issued on Oct 4, 2021. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fredericksburg, VA. The record was last updated on Oct 4, 2021.