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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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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