Provider Demographics
NPI:1255410064
Name:ABDULA-LESSING, SUNIA (DDS, MS)
Entity type:Individual
Prefix:
First Name:SUNIA
Middle Name:
Last Name:ABDULA-LESSING
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12533 FOLLY QUARTER RD
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1207
Mailing Address - Country:US
Mailing Address - Phone:443-310-2323
Mailing Address - Fax:
Practice Address - Street 1:70 THOMAS JOHNSON DR
Practice Address - Street 2:SUITE 123
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4361
Practice Address - Country:US
Practice Address - Phone:301-668-3000
Practice Address - Fax:301-668-7888
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD131951223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics