# ROLLING VALLEY DENTAL PLC

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

## Provider details

- **NPI number:** 1326476300
- **Authorized official:** FAISAL ELHUSSEIN DMD (DENTIST)
- **Authorized official phone:** (954) 667-8136

## Contact information

- **Practice address:** 6373 TRIPS WAY, SPRINGFIELD, VA 22150-1181
- **Practice address phone:** (954) 667-8136
- **Mailing address:** 6405 SHIPLETT BLVD, BURKE, VA 22015-3446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401413633 | VA | Yes |

## Other

- **Enumeration date:** 10/29/2013
- **Last updated:** 10/29/2013