Individual
NISAR H QAMRUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2904 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2522
(202) 562-8452
Mailing address
6000 WALHAVEN DR, ALEXANDRIA, VA 22310-2622
(703) 869-4213
(703) 971-2335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN5124
DC
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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