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Individual

ANMAR AL-JANABI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BDS, MSD, MEC

Contact information

Practice address
13880 BRADDOCK RD, CENTREVILLE, VA 20121-2459
(703) 815-3636
Mailing address
25815 MEWS TER, CHANTILLY, VA 20152-6360
(317) 989-9730

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019.029565
IL
1223E0200X
Endodontics
021003118
IL
1223E0200X
Endodontics
Primary
0401417674
VA

Other

Enumeration date
06/24/2014
Last updated
10/15/2021
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