Provider Demographics
NPI:1104123900
Name:DUKE DENTAL CARE, PLC
Entity type:Organization
Organization Name:DUKE DENTAL CARE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGID
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-212-0000
Mailing Address - Street 1:50 S PICKETT ST
Mailing Address - Street 2:SUITE 229
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-7207
Mailing Address - Country:US
Mailing Address - Phone:703-212-0000
Mailing Address - Fax:703-212-0001
Practice Address - Street 1:50 S PICKETT ST
Practice Address - Street 2:SUITE 229
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-7207
Practice Address - Country:US
Practice Address - Phone:703-212-0000
Practice Address - Fax:703-212-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty