# M & M DENTAL CARE P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aesthetic Dentistry of Fairfax
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366822827
- **Authorized official:** DR. MOSTAFA ABOULKHAIR D.M.D (PRESIDENT/OWNER)
- **Authorized official phone:** (703) 218-8142

## Contact information

- **Practice address:** 4103 CHAIN BRIDGE RD, SUITE LL100, FAIRFAX, VA 22030-4107
- **Practice address phone:** (703) 218-8142
- **Practice address fax:** (703) 218-8143
- **Mailing address:** 4103 CHAIN BRIDGE RD, SUITE LL100, FAIRFAX, VA 22030-4107
- **Mailing address phone:** (703) 218-8142
- **Mailing address fax:** (703) 218-8143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401411899 | VA | Yes |

## Other

- **Enumeration date:** 05/31/2015
- **Last updated:** 10/18/2016