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1679739312
OSAMA SHOUEB MODJADIDI
CHESAPEAKE, VA
NPI
1679739312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 10783)
Enumeration Date
2008-08-01
Last Update Date
2012-10-10
Business Address
Dr. OSAMA SHOUEB MODJADIDI D.M.D.
113 GAINSBOROUGH SQ SUITE 101
CHESAPEAKE, VA 23320-1713
Phone number: 757-548-5619
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Mailing Address
Dr. OSAMA SHOUEB MODJADIDI D.M.D.
113 GAINSBOROUGH SQ SUITE 101
CHESAPEAKE, VA 23320-1713
Phone number: 757-548-5619
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