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Organization
LINA JAMEEL DDS PLLC
Active
Organization
LINA JAMEEL DDS PLLC
Active
Other names
Herndon Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINA JAMEEL DDS (DENTIST)
(703) 609-8156
Entity
Organization
Contact information
Practice address
112 ELDEN ST STE N, HERNDON, VA 20170-4832
(703) 787-9000
Mailing address
9101 FISTERIS CT, WEST SPRINGFIELD, VA 22152-2179
(703) 609-8156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401416074
VA BOARD OF DENTISTRY
VA
Enumeration date
02/02/2022
Last updated
02/02/2022
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