Organization
INTEGRATIVE ORAL & FACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZIAD A ALI DMD, MD (PRESIDENT)
(240) 274-7257
Entity
Organization
Contact information
Practice address
6845 ELM ST, SUITE 305, MC LEAN, VA 22101-6007
(240) 274-7257
Mailing address
6845 ELM ST, SUITE 305, MC LEAN, VA 22101-6007
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401412450
VA
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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