Organization
ADAM DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM ELGARAWANY (OWNER)
(703) 221-9759
Entity
Organization
Contact information
Practice address
16689 RIVER RIDGE BLVD, WOODBRIDGE, VA 22191-4630
(703) 221-9759
(703) 221-2782
Mailing address
16689 RIVER RIDGE BLVD, WOODBRIDGE, VA 22191-4630
(703) 221-9759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124466347
—
CT
Enumeration date
02/19/2019
Last updated
02/19/2019
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