Organization
ELITE PEDIATRICS DENTISTRY & ORTHODONTICS PPLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMMAR AL-MAHDI DDS (ORTHODONTIST)
(540) 251-4045
Entity
Organization
Contact information
Practice address
11836 HALL STREET, BEALETON, VA 22712
(540) 251-4045
Mailing address
6565 ARLINGTON BLVD STE 501, FALLS CHURCH, VA 22042-3018
(703) 534-8711
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
06/18/2025
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