Provider Demographics
NPI:1609361849
Name:HUSSEIN, RASHA JAMAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:RASHA
Middle Name:JAMAL
Last Name:HUSSEIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12109 POLO DR APT 122
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-4025
Mailing Address - Country:US
Mailing Address - Phone:202-644-3784
Mailing Address - Fax:
Practice Address - Street 1:12701 GALVESTON CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20112
Practice Address - Country:US
Practice Address - Phone:703-670-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014161151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice