# MINERAL DENTAL CARE

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

## Provider details

- **NPI number:** 1578005492
- **Authorized official:** DR. MOHAMED ARAFA DDS (CLINICAL DIRECTOR)
- **Authorized official phone:** (540) 894-5700

## Contact information

- **Practice address:** 121 LOUISA AVE, MINERAL, VA 23117
- **Practice address phone:** (540) 894-5700
- **Practice address fax:** (540) 894-0355
- **Mailing address:** PO BOX 100, MINERAL, VA 23117-0100
- **Mailing address phone:** (540) 894-5700
- **Mailing address fax:** (540) 894-0355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401413063 | VA | Yes |

## Other

- **Enumeration date:** 11/09/2016
- **Last updated:** 11/09/2016