Individual
ISSA ABOU AYYASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 GEESE LNDG, GLEN ALLEN, VA 23060-5877
(301) 222-7896
Mailing address
404 GEESE LNDG, GLEN ALLEN, VA 23060-5877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0442000485
VA
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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