Organization
GEORGES TRABOULSI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGES TRABOULSI DDS (PRESIDENT)
(860) 558-7141
Entity
Organization
Contact information
Practice address
3946 KATHRYN JEAN CT, FAIRFAX, VA 22033-2739
(860) 558-7141
Mailing address
3946 KATHRYN JEAN CT, FAIRFAX, VA 22033-2739
(860) 558-7141
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401413344
VA
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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