Individual
DR. NOUSHON FATEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1000 E BROAD ST, RICHMOND, VA 23219-1930
(804) 828-2467
Mailing address
210 ROCKETTS WAY UNIT 507, HENRICO, VA 23231-3062
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0401419570
VA
Other
Enumeration date
05/21/2025
Last updated
07/01/2025
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