Organization
MARK E GOLUB DDS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWARD GOLUB (PRESIDENT)
(703) 765-3366
Entity
Organization
Contact information
Practice address
1451 BELLE HAVEN RD, SUITE 340, ALEXANDRIA, VA 22307
(703) 765-3366
(703) 765-1419
Mailing address
1451 BELLE HAVEN RD, SUITE 340, ALEXANDRIA, VA 22307
(703) 765-3366
(703) 765-1419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005546
VA
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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