# INTEGRATIVE ORAL & FACIAL SURGERY LLC

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

## Provider details

- **NPI number:** 1740590405
- **Authorized official:** DR. ZIAD A ALI DMD, MD (PRESIDENT)
- **Authorized official phone:** (240) 274-7257

## Contact information

- **Practice address:** 6845 ELM ST, SUITE 305, MC LEAN, VA 22101-6007
- **Practice address phone:** (240) 274-7257
- **Mailing address:** 6845 ELM ST, SUITE 305, MC LEAN, VA 22101-6007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0401412450 | VA | Yes |

## Other

- **Enumeration date:** 10/15/2010
- **Last updated:** 10/15/2010