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Organization
MANASSAS MODERN DENTISTRY PLLC
Active
Organization
MANASSAS MODERN DENTISTRY PLLC
Active
Other names
Manassas Modern Dentistry PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAREQ SALAMEH DDS (DOCTOR/OWNER)
(561) 827-1164
Entity
Organization
Contact information
Practice address
10620 CRESTWOOD DR STE A, MANASSAS, VA 20109-4403
(703) 361-2911
Mailing address
10620 CRESTWOOD DR STE A, MANASSAS, VA 20109-4403
(703) 361-2911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
05/11/2023
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