| Front Royal Dental Group | |
|
1516 N Shenandoah Ave Suite B Front Royal VA 22630-3648 | |
| (540) 636-2003 | |
| (540) 636-2004 |
| Full Name | Front Royal Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1516 N Shenandoah Ave, Front Royal, Virginia |
| Authorized Official Name and Position | Ezzat Abdoun (OWNER) |
| Authorized Official Contact | 5402953598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Front Royal Dental Group 1516 N Shenandoah Ave Suite B Front Royal VA 22630-3648 Ph: (540) 636-2003 | Front Royal Dental Group 1516 N Shenandoah Ave Suite B Front Royal VA 22630-3648 Ph: (540) 636-2003 |
| NPI Number | 1366873127 |
|---|---|
| Provider Enumeration Date | 12/04/2013 |
| Last Update Date | 12/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366873127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401412811 (Virginia) | Primary |
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