Organization
MARSHALL DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIONY HAGAR DDS (OWNER)
(540) 364-8040
Entity
Organization
Contact information
Practice address
4199 WINCHESTER ROAD, SUITE H, MARSHALL, VA 20115
(540) 364-8040
(540) 364-8163
Mailing address
4199 WINCHESTER ROAD, SUITE H, MARSHALL, VA 20115
(540) 364-8040
(540) 364-8163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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