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2052 Jefferson Davis Hwy Ste 103 Stafford VA 22554-7286 | |
| (540) 288-2800 | |
| (540) 659-3536 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2052 Jefferson Davis Hwy Ste 103, Stafford, Virginia |
| Authorized Official Name and Position | Mohamed Arafa (DENTIST/OWNER) |
| Authorized Official Contact | 5408919911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10524 Spotsylvania Ave Ste 104 Fredericksburg VA 22408-8611 Ph: (540) 891-9911 | 2052 Jefferson Davis Hwy Ste 103 Stafford VA 22554-7286 Ph: (540) 288-2800 |
| NPI Number | 1144738626 |
|---|---|
| Provider Enumeration Date | 01/18/2018 |
| Last Update Date | 01/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144738626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401413063 (Virginia) | Primary |
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