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Organization

AL DENTAL

Active
Other names
Bolduc Dental, Bolduc Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YASSER ALHABASHI (DENTIST)
(703) 242-4555
Entity
Organization

Contact information

Practice address
301 MAPLE AVE W STE 300, VIENNA, VA 22180-4301
(703) 242-4555
(703) 242-6770
Mailing address
301 MAPLE AVE W STE 300, VIENNA, VA 22180-4301
(703) 242-4555
(703) 242-6770

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
09/24/2024
Last updated
09/24/2024
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