Individual
TAMANNA MOHAMAD NABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 GARRISONVILLE RD STE 201, STAFFORD, VA 22554-1615
(540) 720-1222
Mailing address
450 GARRISONVILLE RD STE 201, STAFFORD, VA 22554-1615
(540) 720-1222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416499
VA
Other
Enumeration date
05/01/2018
Last updated
09/28/2020
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