Organization
K&M DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HISHAM ESSAM A MERDAD DDS (MEMBER)
(857) 654-0359
Entity
Organization
Contact information
Practice address
8316 ARLINGTON BLVD STE 305, FAIRFAX, VA 22031-5216
(857) 654-0359
Mailing address
1854 CLARENDON BLVD, ARLINGTON, VA 22201-2914
(857) 654-0359
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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