| Mazin S. Alayssami Dmd, Pllc | |
|
11725 Route 29 Fairfax VA 22030-8800 | |
| (571) 918-8237 | |
| Not Available |
| Full Name | Mazin S. Alayssami Dmd, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11725 Route 29, Fairfax, Virginia |
| Authorized Official Name and Position | Mazin Alayssami (DENTIST) |
| Authorized Official Contact | 7038502028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mazin S. Alayssami Dmd, Pllc 11725 Route 29 Fairfax VA 22030-8800 Ph: (571) 918-8237 | Mazin S. Alayssami Dmd, Pllc 11725 Route 29 Fairfax VA 22030-8800 Ph: (571) 918-8237 |
| NPI Number | 1053106740 |
|---|---|
| Provider Enumeration Date | 04/12/2025 |
| Last Update Date | 04/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053106740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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