NPI 1013523380

Nour Hussam Tellawi

Practitioner Dentist Alexandria, VA

Practice location

Address: 6000 Stevenson Ave STE 103, Alexandria, VA 22304-3526
Phone: (571) 297-2855

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 0401417173 (VA)

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Registry record

NPI: 1013523380
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2020
Record last updated: 4 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.