National Provider Identifier Database

MINERAL DENTAL CARE
Dental


Contact Information

MINERAL DENTAL CARE
121 LOUISA AVE
MINERAL, VA23117
Phone: 540-894-5700
Fax: 540-894-0355
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for MINERAL DENTAL CARE

NPI Number 1578005492
Legal business name
LBN
MINERAL DENTAL CARE
Authorized official MOHAMED ARAFA - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/09/2016
Last updated 11/09/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0401413063

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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