Organization
STAFFORD GW ORAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM HARON DDS, ABOMS,DIP,FRCDC (OWNER/DOCTOR)
(404) 955-1350
Entity
Organization
Contact information
Practice address
905 WONDER ROAD STE #110, STAFFORD, VA 22554
(540) 225-2259
Mailing address
10009 SOUTH POINT PARKWAY STE# 201-A, FREDERICKSBURG, VA 22407
(404) 955-1350
(540) 225-2259
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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