Arlington Endodontics, Pllc | |
4350 Northfairfax Drive Suite 160 Arlington VA 22203-1695 | |
(571) 312-3762 | |
(571) 312-3592 |
Full Name | Arlington Endodontics, Pllc |
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Speciality | Dentist - Endodontics |
Location | 4350 Northfairfax Drive, Arlington, Virginia |
Authorized Official Name and Position | Tawana D. Feimster (PRESIDENT) |
Authorized Official Contact | 5713123762 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Arlington Endodontics, Pllc 4350 N. Fairfax Dr. Suite 160 Arlington VA 22204-1695 Ph: (571) 312-3762 | Arlington Endodontics, Pllc 4350 Northfairfax Drive Suite 160 Arlington VA 22203-1695 Ph: (571) 312-3762 |
NPI Number | 1548564297 |
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Provider Enumeration Date | 01/10/2011 |
Last Update Date | 01/10/2011 |
Identifier | Type | State | Issuer |
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1548564297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 0401412857 (Virginia) | Primary |
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