Angel Heart & Soul Dentistry | |
2942 Patrick Henry Dr Falls Church VA 22044-2904 | |
(703) 533-8808 | |
(703) 533-8420 |
Full Name | Angel Heart & Soul Dentistry |
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Speciality | Dentist - General Practice |
Location | 2942 Patrick Henry Dr, Falls Church, Virginia |
Authorized Official Name and Position | Josemari De Leon Imao (OWNER/DENTIST) |
Authorized Official Contact | 5853541168 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Angel Heart & Soul Dentistry 2942 Patrick Henry Dr Falls Church VA 22044-2904 Ph: (703) 533-8808 | Angel Heart & Soul Dentistry 2942 Patrick Henry Dr Falls Church VA 22044-2904 Ph: (703) 533-8808 |
NPI Number | 1124414537 |
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Provider Enumeration Date | 04/13/2015 |
Last Update Date | 04/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124414537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 0401412284 (Virginia) | Primary |
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