M & M Dental Care P.c.

NPI #1366822827 in Fairfax, Virginia

Provider Information

NPI Number: 1366822827
Entity Type: Organization
Organization Name: M & M Dental Care P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: May 31, 2015
Last Updated: Oct 18, 2016

Practice Location

Address: 4103 CHAIN BRIDGE RD
Address 2: SUITE LL100
City: Fairfax
State: Virginia
ZIP Code: 22030-4107
Phone: (703) 218-8142

Authorized Official

Name: DR. MOSTAFA ABOULKHAIR, D.M.D
Title: PRESIDENT/OWNER
Phone: (703) 218-8142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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