| Alexandria Children's Dentistry | |
|
625 E Monroe Ave Alexandria VA 22301-3019 | |
| (703) 942-8404 | |
| Not Available |
| Full Name | Alexandria Children's Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 625 E Monroe Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Angela Lani Austin (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Contact | 2022570727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandria Children's Dentistry 2407 Washington Overlook Dr Fort Washington MD 20744-1454 Ph: (202) 257-0727 | Alexandria Children's Dentistry 625 E Monroe Ave Alexandria VA 22301-3019 Ph: (703) 942-8404 |
| NPI Number | 1669843082 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 10/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669843082 | NPI | - | NPPES |
| 007687648 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401411222 (Virginia) | Primary |
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