Ruqaya Lilo
Dentist, Orofacial Pain in Stafford, VA. Individual provider (NPI-1).
NPI number1619704012
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1619704012
- Entity type
- Individual (NPI-1)
- Name
- Ruqaya Lilo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2024
- Certification date
- Sep 18, 2024
- Last updated
- Sep 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X2210X | Dentist, Orofacial Pain | 019.035527 | IL | Yes |
| 122300000X | Dentist | 019.035527 | IL |
Practice location
18 Dewitt RdStafford, VA 22554-8844
Phone 484-849-8000
Mailing address
18 Dewitt RdStafford, VA 22554-8844
Phone 484-849-8000
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