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Individual

MARWA ISSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
109 CLEARVIEW RD, MADISON HEIGHTS, VA 24572-2600
(434) 929-1400
Mailing address
200 W EDGE WAY APT 3109, LYNCHBURG, VA 24502-5858
(929) 353-4547

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401418633
VA
1223G0001X
General Practice Dentistry
Primary
0401418633
VA

Other

Enumeration date
09/07/2023
Last updated
05/21/2025
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