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Organization

ESTAFANOUS PC

Active
Other names
Stefano Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EMAD ESTAFANOUS DDS, MSD (PROSTHODONTIST)
(317) 250-0043
Entity
Organization

Contact information

Practice address
13885 HEDGEWOOD DR STE 225, WOODBRIDGE, VA 22193-7931
(202) 644-8844
(202) 644-8844
Mailing address
13885 HEDGEWOOD DR STE 225, WOODBRIDGE, VA 22193-7931
(202) 644-8844
(202) 644-8844

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
06/15/2022
Last updated
06/15/2022
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