Organization
COMFORT H DENTAL LLC
Active
Other names
Woodbridge Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
HASSANOOR ABDIRAHMAN (PRESIDENT)
(703) 986-0434
Entity
Organization
Contact information
Practice address
13601 OFFICE PL, SUITE 202, WOODBRIDGE, VA 22192-4213
(703) 986-0434
Mailing address
13601 OFFICE PL, SUITE 202, WOODBRIDGE, VA 22192-4213
(703) 986-0434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412394
VA
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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