Organization
M & M DENTAL CARE P.C.
Active
Other names
Aesthetic Dentistry of Fairfax
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSTAFA ABOULKHAIR D.M.D (PRESIDENT/OWNER)
(703) 218-8142
Entity
Organization
Contact information
Practice address
4103 CHAIN BRIDGE RD, SUITE LL100, FAIRFAX, VA 22030-4107
(703) 218-8142
(703) 218-8143
Mailing address
4103 CHAIN BRIDGE RD, SUITE LL100, FAIRFAX, VA 22030-4107
(703) 218-8142
(703) 218-8143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411899
VA
Other
Enumeration date
05/31/2015
Last updated
10/18/2016
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