Individual
JENNIFER RUTH JOOBBANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15441 PEACH LEAF DR, NORTH POTOMAC, MD 20878-2344
(919) 619-3703
Mailing address
905 HIGHLAND RIDGE AVE, GAITHERSBURG, MD 20878-5837
(919) 619-3703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413818
VA
Other
Enumeration date
06/04/2010
Last updated
01/12/2016
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