Organization
DENTAL DEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM MASOUD (OWNER)
(727) 877-9669
Entity
Organization
Contact information
Practice address
44095 PIPELINE PLZ STE 170, ASHBURN, VA 20147-7515
(571) 491-4355
(571) 491-4430
Mailing address
44095 PIPELINE PLZ STE 170, ASHBURN, VA 20147-7515
(571) 491-4355
(571) 491-4430
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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