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Individual

JENIN YAHYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-7952
Mailing address
12743 FAIR BRIAR LN, FAIRFAX, VA 22033-3850
(703) 625-3848

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901021701
MI
1223P0700X
Prosthodontics
Primary
0401415015
VA

Other

Enumeration date
08/06/2015
Last updated
08/08/2016
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