Provider Demographics
NPI:1891813242
Name:FISCHER, KATHERINE BURAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:BURAN
Last Name:FISCHER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5895 TRINITY PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-1921
Mailing Address - Country:US
Mailing Address - Phone:703-818-1500
Mailing Address - Fax:703-502-9580
Practice Address - Street 1:5895 TRINITY PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120-1921
Practice Address - Country:US
Practice Address - Phone:703-818-1500
Practice Address - Fax:703-502-9580
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010067841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice