Individual
LINA MUSTAFA AL JARRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8140 STONEWALL SHOPS SQ, GAINESVILLE, VA 20155-3891
(571) 298-8279
Mailing address
45716 IMPERIAL SQ APT 216, STERLING, VA 20166-7015
(347) 654-1950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416805
VA
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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