Organization
MB. DENTAL CARE PLLC
Active
Parent organization
MB, DENTAL CARE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MB, DENTAL CARE PLLC
Authorized official
TAMESHA MORRIS (CEO)
(804) 690-3005
Entity
Organization
Contact information
Practice address
12701 BRAEMAR VILLAGE PLZ, BRISTOW, VA 20136-5501
(703) 589-7040
Mailing address
14609 BRINDLE CREEK ROAD, WOODBRIDGE, VA 22193
(703) 589-7040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
12/04/2020
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