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Ragaa Abdulmoniem, DDS

Dentist, General Practice in Bristol, TN. Individual provider (NPI-1).

NPI number1114758331
StatusActive
Last updated in NPPESAug 9, 2024

Details

NPI
1114758331
Entity type
Individual (NPI-1)
Name
Ragaa Abdulmoniem
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Aug 9, 2024
Certification date
Aug 9, 2024
Last updated
Aug 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice12604TNYes

Practice location

1401 Volunteer Pkwy Apt 3
Bristol, TN 37620-6009

Phone 423-217-6300

Mailing address

266 Mockingbird Ln Apt 503
Johnson City, TN 37604-3167

Phone 703-568-0451

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