Provider Demographics
NPI:1265918536
Name:HAMOURI, RASHA (DMD)
Entity type:Individual
Prefix:DR
First Name:RASHA
Middle Name:
Last Name:HAMOURI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4310 GEORGE WASHINGTON MEM HWY STE A
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:VA
Mailing Address - Zip Code:23692-2880
Mailing Address - Country:US
Mailing Address - Phone:757-898-1919
Mailing Address - Fax:757-898-2864
Practice Address - Street 1:4310 GEORGE WASHINGTON MEM HWY STE A
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:VA
Practice Address - Zip Code:23692-2880
Practice Address - Country:US
Practice Address - Phone:757-898-1919
Practice Address - Fax:757-898-2864
Is Sole Proprietor?:No
Enumeration Date:2018-07-19
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014161801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice