| Allegra Dental Center | |
|
3040 Williams Dr Suite #201 Fairfax VA 22031-4618 | |
| (571) 419-6897 | |
| (571) 419-6889 |
| Full Name | Allegra Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 3040 Williams Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Nana Esi Dickson (OWNER/DENTIST) |
| Authorized Official Contact | 5714196897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegra Dental Center 6251 Casdin Dr Alexandria VA 22310-2674 Ph: (503) 803-8297 | Allegra Dental Center 3040 Williams Dr Suite #201 Fairfax VA 22031-4618 Ph: (571) 419-6897 |
| NPI Number | 1437521598 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 11/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437521598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401414277 (Virginia) | Primary |
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