Al-Keliddar, Miriam
Al-Keliddar, Miriam is an sole proprietor health care provider with primary practice located at 171 Elden St Ste 3A2 , Herndon VA 20170-4975. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Al-Keliddar, Miriam can be contacted via phone (571) 441-2944.Contact Information
Primary practice address
171 Elden St Ste 3A2
Herndon VA 20170-4975
Phone: (571) 441-2944
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401415698 | Virginia |
| Dental Providers / General Practice | 1223G0001X | 0401415698 | Virginia |
Profile Details
| NPI number | 1598116519 |
|---|---|
| LBN Legal business name | Al-Keliddar, Miriam |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2016 |
| Last updated | Oct 20th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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