| Bdg Specialty Llc | |
|
6120 Brandon Ave Ste 314 Springfield VA 22150-2504 | |
| (703) 569-0000 | |
| Not Available |
| Full Name | Bdg Specialty Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 6120 Brandon Ave Ste 314, Springfield, Virginia |
| Authorized Official Name and Position | Aileen Chyn Kim (OWNER) |
| Authorized Official Contact | 7036777202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bdg Specialty Llc 3807 Glenbrook Rd Fairfax VA 22031-3105 Ph: () - | Bdg Specialty Llc 6120 Brandon Ave Ste 314 Springfield VA 22150-2504 Ph: (703) 569-0000 |
| NPI Number | 1720821523 |
|---|---|
| Provider Enumeration Date | 06/18/2024 |
| Last Update Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720821523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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