Individual
DR. SANDRA ALTARAWNEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 628-4550
Mailing address
5000 LIBBIE MILL EAST BLVD APT 520, RICHMOND, VA 23230-2175
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0401418680
VA
1223P0700X
Prosthodontics
136.000250
IL
Other
Enumeration date
10/29/2019
Last updated
02/07/2024
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