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Individual

DR. ABRAHAM MOHAMMED YOUNOSZAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4379 RIDGEWOOD CENTER DR STE 102, WOODBRIDGE, VA 22192-8323
(703) 680-7950
Mailing address
4379 RIDGEWOOD CENTER DR STE 102, WOODBRIDGE, VA 22192-8323
(703) 680-7950

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413549
VA
122300000X
Dentist
61885
CA
1223G0001X
General Practice Dentistry
DS041473
PA

Other

Enumeration date
05/08/2013
Last updated
07/21/2022
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