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Organization
SAPPHIRE DENTAL PLLC
Active
Organization
SAPPHIRE DENTAL PLLC
Active
Other names
Sapphire Dental PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAYTH GHANIM (OWNER)
(440) 799-2611
Entity
Organization
Contact information
Practice address
8622 LEE HWY, FAIRFAX, VA 22031-2173
(440) 799-2611
Mailing address
8622 LEE HWY, FAIRFAX, VA 22031-2173
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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