Trust Orthodent Pllc | |
2701 Neabsco Common Pl Ste 134 Woodbridge VA 22191-4189 | |
(571) 260-6100 | |
Not Available |
Full Name | Trust Orthodent Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2701 Neabsco Common Pl Ste 134, Woodbridge, Virginia |
Authorized Official Name and Position | Ehab Bennasir (MEMBER/OWNER) |
Authorized Official Contact | 5712606100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Trust Orthodent Pllc 2701 Neabsco Common Pl Ste 134 Woodbridge VA 22191-4189 Ph: () - | Trust Orthodent Pllc 2701 Neabsco Common Pl Ste 134 Woodbridge VA 22191-4189 Ph: (571) 260-6100 |
NPI Number | 1881360568 |
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Provider Enumeration Date | 08/21/2021 |
Last Update Date | 08/21/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881360568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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