Elghannam Dental LLC
NPI #1164234910 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1164234910
- Entity Type
- Organization
- Organization Name
- Elghannam Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 20, 2025
- Last Updated
- Jan 22, 2025
Practice Location
- Address
- 4421 DALE BLVD STE 202
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22193-2550
- Phone
- (615) 499-0438
Authorized Official
- Name
- MOHAMED M ELGHANNAM
- Title
- CEO
- Phone
- (615) 499-0438
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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