Mb. Dental Care Pllc

NPI #1407456353 in Bristow, Virginia

Provider Information

NPI Number: 1407456353
Entity Type: Organization
Organization Name: Mb. Dental Care Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: MB, DENTAL CARE PLLC
Primary Specialty: Dentist
Enumeration Date: Oct 29, 2020
Last Updated: Dec 4, 2020

Practice Location

Address: 12701 BRAEMAR VILLAGE PLZ
City: Bristow
State: Virginia
ZIP Code: 20136-5501
Phone: (703) 589-7040

Authorized Official

Name: TAMESHA MORRIS
Title: CEO
Phone: (804) 690-3005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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