| Integrative Oral & Facial Surgery Llc | |
|
6845 Elm St Suite 305 Mc Lean VA 22101-6007 | |
| (240) 274-7257 | |
| Not Available |
| Full Name | Integrative Oral & Facial Surgery Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6845 Elm St, Mc Lean, Virginia |
| Authorized Official Name and Position | Ziad A Ali (PRESIDENT) |
| Authorized Official Contact | 2402747257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Oral & Facial Surgery Llc 6845 Elm St Suite 305 Mc Lean VA 22101-6007 Ph: () - | Integrative Oral & Facial Surgery Llc 6845 Elm St Suite 305 Mc Lean VA 22101-6007 Ph: (240) 274-7257 |
| NPI Number | 1740590405 |
|---|---|
| Provider Enumeration Date | 10/15/2010 |
| Last Update Date | 10/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740590405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401412450 (Virginia) | Primary |
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