Individual
JOANNA AL OBAIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3716 MELROSE AVE NW, ROANOKE, VA 24017-2716
(540) 362-0360
Mailing address
3716 MELROSE AVE NW, ROANOKE, VA 24017-2716
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418768
VA
122300000X
Dentist
2901601551
MI
Other
Enumeration date
10/03/2022
Last updated
07/08/2024
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