Most Relevant Information
Provider Data
| NPI Number: | 1003530163 |
| Provider Name: | JOANNA AL OBAIDI |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 2901601551 |
Most Important Dates
| Enumeration Date: | 10/03/2022 |
| Last Updated: | 07/08/2024 |
Provider Practice Location
3716 MELROSE AVE NW
ROANOKE
VA
240172716
Practice Location Phone/Fax
| Phone: | 5403620360 |
| Fax: |
Provider Mailing Location
3716 MELROSE AVE NW
ROANOKE
VA
240172716
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |