| Ali M Mualla Dds Pllc | |
|
545 E Market St Ste G Leesburg VA 20176-4172 | |
| (703) 669-8600 | |
| Not Available |
| Full Name | Ali M Mualla Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 545 E Market St Ste G, Leesburg, Virginia |
| Authorized Official Name and Position | Ali M Mualla (DDS) |
| Authorized Official Contact | 7036698600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali M Mualla Dds Pllc 545 E Market St Ste G Leesburg VA 20176-4172 Ph: (703) 669-8600 | Ali M Mualla Dds Pllc 545 E Market St Ste G Leesburg VA 20176-4172 Ph: (703) 669-8600 |
| NPI Number | 1083112395 |
|---|---|
| Provider Enumeration Date | 02/01/2018 |
| Last Update Date | 02/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083112395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401415214 (Virginia) | Primary |
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