Individual
MARYAM JAMALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
3925 MINNESOTA AVE NE, WASHINGTON, DC 20019-2662
(202) 396-1444
Mailing address
308 DOMINION RD NE, VIENNA, VA 22180-4521
(703) 242-9009
(888) 371-9044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401414628
VA
1223G0001X
General Practice Dentistry
Primary
DEN1001581
DC
Other
Enumeration date
09/24/2014
Last updated
03/05/2020
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