| NPI | 1114652286 |
|---|---|
| Doing Business As | MANASSAS MODERN DENTISTRY PLLC |
| Entity Type | Organization |
| Authorized Contact | TAREQ SALAMEH Doctor/Owner 561-827-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2023-05-11 |