Organization
MAHGOUB DDS PLLC
Active
Other names
LOUDOUN INNOVATIVE DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLAH MAHGOUB DDS (OWNER)
(281) 467-3397
Entity
Organization
Contact information
Practice address
24305 LIBERTY HARVEST CT STE 110, STERLING, VA 20166-3422
(703) 775-1110
Mailing address
24305 LIBERTY HARVEST CT STE 110, STERLING, VA 20166-3422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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