Organization
MANASSAS MODERN DENTISTRY PLLC
Active
Other names
Manassas Modern Dentistry PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAREQ SALAMEH DDS (DOCTOR/OWNER)
(561) 827-1164
Entity
Organization
Contact information
Practice address
10620 CRESTWOOD DR STE A, MANASSAS, VA 20109-4403
(703) 361-2911
Mailing address
10620 CRESTWOOD DR STE A, MANASSAS, VA 20109-4403
(703) 361-2911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
05/11/2023
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