| Acclaim Dental Group | |
|
209 Elden St Suite 210 Herndon VA 20170-4852 | |
| (703) 709-0102 | |
| (703) 709-6916 |
| Full Name | Acclaim Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 209 Elden St, Herndon, Virginia |
| Authorized Official Name and Position | Flora B Tajalli (OWNER) |
| Authorized Official Contact | 7037090102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acclaim Dental Group 209 Elden St Suite 210 Herndon VA 20170-4852 Ph: (703) 709-0102 | Acclaim Dental Group 209 Elden St Suite 210 Herndon VA 20170-4852 Ph: (703) 709-0102 |
| NPI Number | 1750616694 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 10/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750616694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401008639 (Virginia) | Primary |
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