Individual
DR. MARCUS OLIVER EMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
307 MAPLE AVE W STE 100, VIENNA, VA 22180-4307
(703) 938-7615
Mailing address
8305 GREENSBORO DR APT 3112, TYSONS, VA 22102-7364
(703) 937-7007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416411
VA
1223G0001X
General Practice Dentistry
11144
NC
Other
Enumeration date
08/13/2018
Last updated
02/12/2020
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