| Adam Dental Care | |
|
16689 River Ridge Blvd Woodbridge VA 22191-4630 | |
| (703) 221-9759 | |
| (703) 221-2782 |
| Full Name | Adam Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16689 River Ridge Blvd, Woodbridge, Virginia |
| Authorized Official Name and Position | Ibrahim Elgarawany (OWNER) |
| Authorized Official Contact | 7032219759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Dental Care 16689 River Ridge Blvd Woodbridge VA 22191-4630 Ph: (703) 221-9759 | Adam Dental Care 16689 River Ridge Blvd Woodbridge VA 22191-4630 Ph: (703) 221-9759 |
| NPI Number | 1588120224 |
|---|---|
| Provider Enumeration Date | 02/19/2019 |
| Last Update Date | 02/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588120224 | NPI | - | NPPES |
| 1124466347 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Su-en C Thlick, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12701 Marblestone Dr, Suite #260, Woodbridge, VA 22192 Phone: 703-670-2114 | |
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