Organization
MINERAL DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED ARAFA DDS (CLINICAL DIRECTOR)
(540) 894-5700
Entity
Organization
Contact information
Practice address
121 LOUISA AVE, MINERAL, VA 23117
(540) 894-5700
(540) 894-0355
Mailing address
PO BOX 100, MINERAL, VA 23117-0100
(540) 894-5700
(540) 894-0355
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401413063
VA
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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