Provider Demographics
NPI:1467986034
Name:VALLEY DENTAL CARE
Entity Type:Organization
Organization Name:VALLEY DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AYMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEEB
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-322-1244
Mailing Address - Street 1:27 S GATEWAY DR
Mailing Address - Street 2:121
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-1229
Mailing Address - Country:US
Mailing Address - Phone:540-322-1244
Mailing Address - Fax:540-300-4563
Practice Address - Street 1:27 S GATEWAY DR
Practice Address - Street 2:121
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-1229
Practice Address - Country:US
Practice Address - Phone:540-322-1244
Practice Address - Fax:540-300-4563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental