# ALI M MUALLA DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083112395
- **Authorized official:** ALI M MUALLA DDS (DDS)
- **Authorized official phone:** (703) 669-8600

## Contact information

- **Practice address:** 545 E MARKET ST STE G, LEESBURG, VA 20176-4172
- **Practice address phone:** (703) 669-8600
- **Mailing address:** 545 E MARKET ST STE G, LEESBURG, VA 20176-4172
- **Mailing address phone:** (703) 669-8600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401415214 | VA | Yes |

## Other

- **Enumeration date:** 02/01/2018
- **Last updated:** 02/01/2018