Organization
MANASSAS DENTAL CARE LLC
Active
Other names
Manassas Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
HASSANOOR ABDIRAHMAN (MANAGER)
(571) 719-7272
Entity
Organization
Contact information
Practice address
8707 DIGGES RD, MANASSAS, VA 20110-4403
(571) 719-7272
Mailing address
8707 DIGGES RD, MANASSAS, VA 20110-4403
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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