Organization
LURAY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAREK M ASHMAWY DDS (OWNER)
(540) 743-4810
Entity
Organization
Contact information
Practice address
156 E MAIN ST, LURAY, VA 22835-1366
(540) 743-4810
(540) 743-7936
Mailing address
156 E MAIN ST, LURAY, VA 22835-1366
(540) 743-4810
(540) 743-7936
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411500
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9199709
—
VA
Enumeration date
03/21/2008
Last updated
03/21/2008
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