| Elite Pediatrics Dentistry & Orthodontics Pplc | |
|
11836 Hall Street Bealeton VA 22712 | |
| (540) 251-4045 | |
| Not Available |
| Full Name | Elite Pediatrics Dentistry & Orthodontics Pplc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11836 Hall Street, Bealeton, Virginia |
| Authorized Official Name and Position | Ammar Al-mahdi (ORTHODONTIST) |
| Authorized Official Contact | 5402514045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Pediatrics Dentistry & Orthodontics Pplc 6565 Arlington Blvd Ste 501 Falls Church VA 22042-3018 Ph: (703) 534-8711 | Elite Pediatrics Dentistry & Orthodontics Pplc 11836 Hall Street Bealeton VA 22712 Ph: (540) 251-4045 |
| NPI Number | 1992553093 |
|---|---|
| Provider Enumeration Date | 05/13/2024 |
| Last Update Date | 05/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992553093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |