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Organization

MILLENNIUM DENTAL CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GHEED ALMUDHAFAR (DENTIST)
(703) 231-3506
Entity
Organization

Contact information

Practice address
6319 CASTLE PL, 3F, FALLS CHURCH, VA 22044-1907
(703) 231-3506
Mailing address
6319 CASTLE PL, 3F, FALLS CHURCH, VA 22044-1907

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414058
VA
1223P0300X
Periodontics

Other

Enumeration date
03/07/2016
Last updated
03/07/2016
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