Organization
ALLURE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMAN AYOUBI DDS (OWNER)
(703) 269-8678
Entity
Organization
Contact information
Practice address
171 ELDEN ST, SUITE 2C3, HERNDON, VA 20170-4875
(516) 306-1282
Mailing address
500 ASPEN DR, HERNDON, VA 20170-5308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411724
VA
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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