# EASY DENTAL CARE

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

## Provider details

- **NPI number:** 1477080570
- **Authorized official:** AHMED EZZELDIN (PRESIDENT)
- **Authorized official phone:** (540) 699-0888

## Contact information

- **Practice address:** 7522 OLD LINTON HALL RD, GAINESVILLE, VA 20155-1731
- **Practice address phone:** (703) 753-8600
- **Mailing address:** 7522 OLD LINTON HALL RD, GAINESVILLE, VA 20155-1731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2017
- **Last updated:** 05/19/2017