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Organization
MIKHAIL DENTAL SERVICES, PLLC
Active
Organization
MIKHAIL DENTAL SERVICES, PLLC
Active
Other names
Advanced Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND MIKHAIL DDS (MANAGING MEMBER)
(571) 455-0466
Entity
Organization
Contact information
Practice address
1602 VILLAGE MARKET BLVD SE, SUITE #130, LEESBURG, VA 20175-4669
(571) 455-0466
Mailing address
1602 VILLAGE MARKET BLVD SE, SUITE #130, LEESBURG, VA 20175-4669
(571) 455-0466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412186
VA
Other
Enumeration date
10/08/2011
Last updated
10/08/2011
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