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Organization

TRUST ORTHODENT PLLC

Active
Other names
Signature Orthodontics and Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EHAB BENNASIR (MEMBER/OWNER)
(571) 260-6100
Entity
Organization

Contact information

Practice address
2701 NEABSCO COMMON PL STE 134, WOODBRIDGE, VA 22191-4189
(571) 260-6100
Mailing address
2701 NEABSCO COMMON PL STE 134, WOODBRIDGE, VA 22191-4189

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
08/21/2021
Last updated
08/21/2021
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