Organization
ELEVATE ORAL SURGERY
Active
Other names
Elevate Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMER ELHADY DMD (GENERAL PARTNER)
(703) 980-2475
Entity
Organization
Contact information
Practice address
131 ELDEN ST STE 300, HERNDON, VA 20170-4851
(703) 689-3900
(703) 689-3903
Mailing address
3903 FAIR RIDGE DR STE 215, FAIRFAX, VA 22033-2945
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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