| Agape Dental Studio Llc | |
|
5555 Columbia Pike Suite #102 Arlington VA 22204-5852 | |
| (703) 820-8282 | |
| Not Available |
| Full Name | Agape Dental Studio Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5555 Columbia Pike, Arlington, Virginia |
| Authorized Official Name and Position | Lidia Tekle (OWNER) |
| Authorized Official Contact | 7038208282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Dental Studio Llc 5555 Columbia Pike Suite #102 Arlington VA 22204-5852 Ph: (703) 820-8282 | Agape Dental Studio Llc 5555 Columbia Pike Suite #102 Arlington VA 22204-5852 Ph: (703) 820-8282 |
| NPI Number | 1528418951 |
|---|---|
| Provider Enumeration Date | 06/16/2016 |
| Last Update Date | 06/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528418951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401412271 (Virginia) | Primary |
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