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Contact Information

MARK E GOLUB DDS PLC
1451 BELLE HAVEN RD
SUITE 340
ALEXANDRIA, VA22307
 Phone: 703-765-3366
 Fax: 703-765-1419
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MARK E GOLUB DDS PLC

NPI Number 1114930310
LBN Legal business name MARK E GOLUB DDS PLC
Authorized official MARK GOLUB - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/15/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
VA License # 0401005546
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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