| Ahmed Elghobashi | |
|
6120 Brandon Ave Ste 214 Springfield VA 22150-2522 | |
| (703) 451-1656 | |
| Not Available |
| Full Name | Ahmed Elghobashi |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6120 Brandon Ave, Springfield, Virginia |
| Authorized Official Name and Position | Ahmed Elghobashi (PRESIDENT) |
| Authorized Official Contact | 7034511656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmed Elghobashi 6120 Brandon Ave Ste 214 Springfield VA 22150-2522 Ph: (703) 451-1656 | Ahmed Elghobashi 6120 Brandon Ave Ste 214 Springfield VA 22150-2522 Ph: (703) 451-1656 |
| NPI Number | 1265802912 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 10/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265802912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | BE9051157 (Minnesota) | Primary |
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