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1396412151
THAMER WISAM
NORTH CHESTERFIELD, VA
NPI
1396412151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401417688)
Enumeration Date
2021-08-27
Last Update Date
2021-08-27
Business Address
THAMER WISAM
30 COURTHOUSE RD
NORTH CHESTERFIELD, VA 23236-3124
Phone number: 804-794-2026
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Mailing Address
THAMER WISAM
30 COURTHOUSE RD
NORTH CHESTERFIELD, VA 23236-3124
Phone number: 804-794-2026
Copy
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