Provider Demographics
NPI:1992528202
Name:SARA ELASHAAL DMD PLLC
Entity type:Organization
Organization Name:SARA ELASHAAL DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELASHAAL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:703-909-1085
Mailing Address - Street 1:6182 OLD FRANCONIA RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-2592
Mailing Address - Country:US
Mailing Address - Phone:703-804-8008
Mailing Address - Fax:
Practice Address - Street 1:6182 OLD FRANCONIA RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-2592
Practice Address - Country:US
Practice Address - Phone:703-804-8008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental