Organization
LINA JAMEEL DDS PLLC
Active
Other names
Herndon Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINA JAMEEL DDS (DENTIST)
(703) 609-8156
Entity
Organization
Contact information
Practice address
112 ELDEN ST STE N, HERNDON, VA 20170-4832
(703) 787-9000
Mailing address
9101 FISTERIS CT, WEST SPRINGFIELD, VA 22152-2179
(703) 609-8156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401416074
VA BOARD OF DENTISTRY
VA
Enumeration date
02/02/2022
Last updated
02/02/2022
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