Organization
ALI AND MADY DENTAL ANESTHESIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WISSAM F ALI DMD (OWNER)
(703) 379-6400
Entity
Organization
Contact information
Practice address
5284 DAWES AVE, ALEXANDRIA, VA 22311-1404
(703) 379-6400
(703) 379-6407
Mailing address
5284 DAWES AVE, ALEXANDRIA, VA 22311-1404
(703) 379-6400
(703) 379-6407
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0401410503
VA
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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