| Ballston Dental Arts, Pllc | |
|
900 N Taylor Street #150 Arlington VA 22203 | |
| (703) 931-5555 | |
| Not Available |
| Full Name | Ballston Dental Arts, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 900 N Taylor Street #150, Arlington, Virginia |
| Authorized Official Name and Position | Stephanie Gomez (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 3052742499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballston Dental Arts, Pllc 900 N Taylor St Ste 150 Arlington VA 22203-1868 Ph: () - | Ballston Dental Arts, Pllc 900 N Taylor Street #150 Arlington VA 22203 Ph: (703) 931-5555 |
| NPI Number | 1861993479 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 02/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861993479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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