Thamer Wisam
NPI #1396412151 in North Chesterfield, Virginia
Provider Information
- NPI Number
- 1396412151
- Entity Type
- Individual
- Name
- Thamer Wisam
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 27, 2021
- Last Updated
- Aug 27, 2021
Practice Location
- Address
- 30 COURTHOUSE RD
- State
- Virginia
- ZIP Code
- 23236-3124
- Phone
- (804) 794-2026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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