# DENTAL DEN

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

## Provider details

- **NPI number:** 1760341374
- **Authorized official:** DR. IBRAHIM MASOUD (OWNER)
- **Authorized official phone:** (727) 877-9669

## Contact information

- **Practice address:** 44095 PIPELINE PLZ STE 170, ASHBURN, VA 20147-7515
- **Practice address phone:** (571) 491-4355
- **Practice address fax:** (571) 491-4430
- **Mailing address:** 44095 PIPELINE PLZ STE 170, ASHBURN, VA 20147-7515
- **Mailing address phone:** (571) 491-4355
- **Mailing address fax:** (571) 491-4430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/20/2026
- **Last updated:** 01/20/2026