Dr Mib DDS Pllc

NPI #1902487150 in Herndon, Virginia

Provider Information

NPI Number: 1902487150
Entity Type: Organization
Organization Name: Dr Mib DDS Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 19, 2021
Last Updated: Apr 19, 2021

Practice Location

Address: 12973 HIGHLAND CROSSING DR STE B
City: Herndon
State: Virginia
ZIP Code: 20171-5890
Phone: (703) 953-3307

Authorized Official

Name: DR. MOHAMED IBRAHIM, DDS
Title: OWNER
Phone: (703) 624-8188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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