Individual
ROOHEE-TAJ S MANSOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14346 WARWICK BLVD STE 418, NEWPORT NEWS, VA 23602-3817
(757) 886-2096
Mailing address
1090 NORTHCHASE PKWY SE, SUITE 290, MARIETTA, GA 30067-6405
(770) 916-5352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413215
VA
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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