Organization
EASY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED EZZELDIN (PRESIDENT)
(540) 699-0888
Entity
Organization
Contact information
Practice address
7522 OLD LINTON HALL RD, GAINESVILLE, VA 20155-1731
(703) 753-8600
Mailing address
7522 OLD LINTON HALL RD, GAINESVILLE, VA 20155-1731
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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