Individual
DR. AHMED M ELGHOBASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6120 BRANDON AVE, SUITE 214, SPRINGFIELD, VA 22150
(703) 451-1656
(703) 451-3347
Mailing address
6120 BRANDON AVE, SUITE 214, SPRINGFIELD, VA 22150
(703) 451-1656
(703) 451-3347
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411676
VA
1223G0001X
General Practice Dentistry
0401411676
VA
Other
Enumeration date
05/24/2007
Last updated
03/30/2012
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