Manassas Modern Dentistry Pllc

NPI #1114652286 in Manassas, Virginia

Provider Information

NPI Number: 1114652286
Entity Type: Organization
Organization Name: Manassas Modern Dentistry Pllc
Primary Specialty: Dentist
Enumeration Date: Jul 21, 2022
Last Updated: May 11, 2023

Practice Location

Address: 10620 CRESTWOOD DR STE A
City: Manassas
State: Virginia
ZIP Code: 20109-4403
Phone: (703) 361-2911

Authorized Official

Name: DR. TAREQ SALAMEH, DDS
Title: DOCTOR/OWNER
Phone: (561) 827-1164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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