Mazin Alayssami, Dmd & Associates Pc | |
13873 Park Center Rd Herndon VA 20171-3223 | |
(703) 478-0115 | |
Not Available |
Full Name | Mazin Alayssami, Dmd & Associates Pc |
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Speciality | Dentist - General Practice |
Location | 13873 Park Center Rd, Herndon, Virginia |
Authorized Official Name and Position | Mazin Alayssami (OWNER) |
Authorized Official Contact | 7034780115 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mazin Alayssami, Dmd & Associates Pc 13873 Park Center Rd Herndon VA 20171-3223 Ph: (703) 478-0115 | Mazin Alayssami, Dmd & Associates Pc 13873 Park Center Rd Herndon VA 20171-3223 Ph: (703) 478-0115 |
NPI Number | 1861559171 |
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Provider Enumeration Date | 01/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1861559171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8416 (Virginia) | Primary |
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