| Manassas Modern Dentistry Pllc | |
|
10620 Crestwood Dr Ste A Manassas VA 20109-4403 | |
| (703) 361-2911 | |
| Not Available |
| Full Name | Manassas Modern Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 10620 Crestwood Dr Ste A, Manassas, Virginia |
| Authorized Official Name and Position | Tareq Salameh (DOCTOR/OWNER) |
| Authorized Official Contact | 5618271164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manassas Modern Dentistry Pllc 10620 Crestwood Dr Ste A Manassas VA 20109-4403 Ph: (703) 361-2911 | Manassas Modern Dentistry Pllc 10620 Crestwood Dr Ste A Manassas VA 20109-4403 Ph: (703) 361-2911 |
| NPI Number | 1114652286 |
|---|---|
| Provider Enumeration Date | 07/21/2022 |
| Last Update Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114652286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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