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1770019622
EISA JAWAD ABU MUNSHAR
ROANOKE, VA
NPI
1770019622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401416557)
Enumeration Date
2017-05-11
Last Update Date
2019-06-18
Business Address
EISA JAWAD ABU MUNSHAR
4753 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Phone number: 614-282-0979
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Mailing Address
EISA JAWAD ABU MUNSHAR
4753 VALLEY VIEW BLVD NW
ROANOKE, VA 24012-2000
Phone number:
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