Individual
DR. AZHARI HASSAN ELAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1313 DOLLEY MADISON BLVD STE 209, MC LEAN, VA 22101-3926
(703) 356-7890
Mailing address
13134 WILLOUGHBY POINT DR, FAIRFAX, VA 22033-1428
(571) 412-8350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419039
VA
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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