Individual
DR. SANDRA KOUYOUMJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5075 MORGANTON RD STE 12, FAYETTEVILLE, NC 28314-1542
(910) 864-5100
Mailing address
8218 WISCONSIN AVE STE 200, BETHESDA, MD 20814-3107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16247
MD
Other
Enumeration date
07/05/2017
Last updated
09/20/2018
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