Individual
SUAD AHMED JAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
9094 BELO GATE DR, MANASSAS PARK, VA 20111-7045
(571) 278-2259
Mailing address
3005 SEVEN OAKS PL, FALLS CHURCH, VA 22042-3155
(571) 278-2259
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416417
VA
Other
Enumeration date
09/06/2012
Last updated
11/09/2020
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