MEDICARE: DR. DINA GHALY-HABIB BDS , MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	1223P0221X	Pediatric Dentistry	0401417898	VA

General Provider Information

NPI Number	:	1922484799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DINA GHALY-HABIB BDS , MPH

Provider Business Mailing Address
First Line	:	1004 GALIUM CT
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-1106
Country	:	US
Telephone Number	:	781-879-9224
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 FAIRFAX DR STE 42
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1762
Country	:	US
Telephone Number	:	703-988-9455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2015
Last Update Date	:	06/02/2026

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