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Organization
MILLENNIUM DENTAL CARE PLLC
Active
Organization
MILLENNIUM DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHEED ALMUDHAFAR (DENTIST)
(703) 231-3506
Entity
Organization
Contact information
Practice address
6319 CASTLE PL, 3F, FALLS CHURCH, VA 22044-1907
(703) 231-3506
Mailing address
6319 CASTLE PL, 3F, FALLS CHURCH, VA 22044-1907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414058
VA
1223P0300X
Periodontics
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Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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