Individual
DR. CAROL YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1614 VILLAGE MARKET BLVD SE STE 100, LEESBURG, VA 20175-5113
(703) 777-8777
Mailing address
16334 HUNTER PL, LEESBURG, VA 20176-7829
(614) 288-3979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416847
VA
Other
Enumeration date
07/15/2019
Last updated
04/07/2022
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