Individual
DR. IBRAHIM Y ALHUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1500 CORNERSIDE BLVD, SUITE 200, VIENNA, VA 22182-2433
(703) 821-2222
(703) 821-2221
Mailing address
1500 CORNERSIDE BLVD, SUITE 200, VIENNA, VA 22182-2433
(703) 821-2222
(703) 821-2221
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401411559
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
13503
MD
Other
Enumeration date
01/17/2007
Last updated
06/22/2015
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