# ALDOURI DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reform Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033990890
- **Authorized official:** ALI AL-DOURI (OWNER)
- **Authorized official phone:** (202) 680-0866

## Contact information

- **Practice address:** 5761 PLANK RD, FREDERICKSBURG, VA 22407-6227
- **Practice address phone:** (540) 307-1775
- **Practice address fax:** (540) 315-7740
- **Mailing address:** 8411 BEREA CT, VIENNA, VA 22180-7102
- **Mailing address phone:** (202) 680-0866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2023
- **Last updated:** 10/09/2023