# MB. DENTAL CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MB, DENTAL CARE PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407456353
- **Legal business name:** MB, DENTAL CARE PLLC
- **Authorized official:** TAMESHA MORRIS (CEO)
- **Authorized official phone:** (804) 690-3005

## Contact information

- **Practice address:** 12701 BRAEMAR VILLAGE PLZ, BRISTOW, VA 20136-5501
- **Practice address phone:** (703) 589-7040
- **Mailing address:** 14609 BRINDLE CREEK ROAD, WOODBRIDGE, VA 22193
- **Mailing address phone:** (703) 589-7040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2020
- **Last updated:** 12/04/2020