Organization
HABIBA DENTAL PC
Active
Other names
Front Royal Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EZZAT ABDOUN DDS (OWNER)
(540) 295-3598
Entity
Organization
Contact information
Practice address
1516 N SHENANDOAH AVE, SUITE B, FRONT ROYAL, VA 22630-3648
(540) 636-2003
(540) 636-2004
Mailing address
1516 N SHENANDOAH AVE, SUITE B, FRONT ROYAL, VA 22630-3648
(540) 636-2003
(540) 636-2004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412811
VA
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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