Ibrahimkhil, Mastora N

Ibrahimkhil, Mastora N is an individual health care provider with primary practice located at 163 Fort Evans Rd Ne , Leesburg VA 20176-4420. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Ibrahimkhil, Mastora N can be contacted via phone (703) 443-2000.

Contact Information

Primary practice address
163 Fort Evans Rd Ne Leesburg VA 20176-4420
Fax: (703) 771-4120
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 0402202407 Virginia

Profile Details

NPI number 1245691757
LBN Legal business name Ibrahimkhil, Mastora N
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2016
Last updated Mar 10th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245691757 NPPES
Virginia MEDICAID VIRGINIA

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