Individual
MONICA YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
770 ROSE ST D432, LEXINGTON, KY 40536-2784
(703) 731-3240
Mailing address
770 ROSE ST D432, LEXINGTON, KY 40536-0001
(703) 829-6263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418432
VA
Other
Enumeration date
05/26/2023
Last updated
07/01/2024
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