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Amanda Yacoub
NPI 1336724897 · on the registry since 2021 · sole proprietor
Practice
- Address
- 11107 Sunset Hills Rd Ste 111
Reston, VA 20190 - Phone
- (703) 860-3200
- Organisation at this address
- Fusion Dental
Neuroloft Ii Llc
S & D Of Virginia Inc
Reston Dental Group, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- Dentist
- Licence states on file
- DC, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia