Individual
DR. TAREQ AMSAMA ABDULRASOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
521 N 11TH ST, RICHMOND, VA 23298-5016
(804) 828-9356
Mailing address
521 N 11TH ST, RICHMOND, VA 23298-5016
(804) 828-9356
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0442000466
VA
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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