Organization
MIKHAIL DENTAL SERVICES, PLLC
Active
Other names
Advanced Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND MIKHAIL DDS (MANAGING MEMBER)
(571) 455-0466
Entity
Organization
Contact information
Practice address
1602 VILLAGE MARKET BLVD SE, SUITE #130, LEESBURG, VA 20175-4669
(571) 455-0466
Mailing address
1602 VILLAGE MARKET BLVD SE, SUITE #130, LEESBURG, VA 20175-4669
(571) 455-0466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412186
VA
Other
Enumeration date
10/08/2011
Last updated
10/08/2011
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