Individual
ABDALLAHI SIDI EL MOCTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5671 COLUMBIA PIKE, SUITE 101, FALLS CHURCH, VA 22041-2884
(703) 845-9090
Mailing address
5671 COLUMBIA PIKE, SUITE 101, FALLS CHURCH, VA 22041-2884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413206
VA
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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