| Millennium Dental Care Pllc | |
|
6319 Castle Pl 3f Falls Church VA 22044-1907 | |
| (703) 231-3506 | |
| Not Available |
| Full Name | Millennium Dental Care Pllc |
|---|---|
| Speciality | Dentist |
| Location | 6319 Castle Pl, Falls Church, Virginia |
| Authorized Official Name and Position | Gheed Almudhafar (DENTIST) |
| Authorized Official Contact | 7032313506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Millennium Dental Care Pllc 6319 Castle Pl 3f Falls Church VA 22044-1907 Ph: () - | Millennium Dental Care Pllc 6319 Castle Pl 3f Falls Church VA 22044-1907 Ph: (703) 231-3506 |
| NPI Number | 1508226358 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 03/07/2016 |
| Medicare PECOS PAC ID | 4789001041 |
|---|---|
| Medicare Enrollment ID | O20200901001491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508226358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401414058 (Virginia) | Primary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
| Provider Name | Yasir Bahrani |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962482125 PECOS PAC ID: 9638596992 Enrollment ID: I20200901001302 |
| Provider Name | Gheed Almudhafar |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1194164814 PECOS PAC ID: 6709183700 Enrollment ID: I20210610003421 |
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