# MILLENNIUM DENTAL CARE PLLC

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

## Provider details

- **NPI number:** 1508226358
- **Authorized official:** DR. GHEED ALMUDHAFAR (DENTIST)
- **Authorized official phone:** (703) 231-3506

## Contact information

- **Practice address:** 6319 CASTLE PL, 3F, FALLS CHURCH, VA 22044-1907
- **Practice address phone:** (703) 231-3506
- **Mailing address:** 6319 CASTLE PL, 3F, FALLS CHURCH, VA 22044-1907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401414058 | VA | Yes |
| 1223P0300X | Periodontics | — | — | — |

## Other

- **Enumeration date:** 03/07/2016
- **Last updated:** 03/07/2016