| Elite Orthodontics | |
|
11702 Fiar Oaks Mall Upper Floor Fairfax VA 22033 | |
| (571) 426-5788 | |
| Not Available |
| Full Name | Elite Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11702 Fiar Oaks Mall, Fairfax, Virginia |
| Authorized Official Name and Position | Ammar Al-mahdi (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 5714265788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Orthodontics 11702 Fiar Oaks Mall Upper Floor Fairfax VA 22033 Ph: (571) 426-5788 | Elite Orthodontics 11702 Fiar Oaks Mall Upper Floor Fairfax VA 22033 Ph: (571) 426-5788 |
| NPI Number | 1386137271 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 06/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386137271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401415218 (Virginia) | Primary |
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