Provider Demographics
NPI:1518025691
Name:WAY, KHIN Y
Entity Type:Individual
Prefix:DR
First Name:KHIN
Middle Name:Y
Last Name:WAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 FALLS RD
Mailing Address - Street 2:SUITE #6
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3999
Mailing Address - Country:US
Mailing Address - Phone:301-983-5800
Mailing Address - Fax:301-983-3535
Practice Address - Street 1:9800 FALLS RD
Practice Address - Street 2:SUITE #6
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3999
Practice Address - Country:US
Practice Address - Phone:301-983-5800
Practice Address - Fax:301-983-3535
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD119501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice