Individual
DR. AHMED EZZELDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6925 TELEGRAPH RD, ALEXANDRIA, VA 22310-3320
(703) 313-6999
Mailing address
6020 BUTTERCUP CT, ALEXANDRIA, VA 22310-1783
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412931
VA
122300000X
Dentist
14622
MD
Other
Enumeration date
08/15/2010
Last updated
08/15/2010
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