| Brightwhites, P.c. | |
|
6214 Old Franconia Rd Ste A Alexandria VA 22310-3400 | |
| (703) 719-6158 | |
| Not Available |
| Full Name | Brightwhites, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6214 Old Franconia Rd Ste A, Alexandria, Virginia |
| Authorized Official Name and Position | Brigitte White Zivkovic (PRESIDENT) |
| Authorized Official Contact | 7037196158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightwhites, P.c. 6101 Calico Pool Ln Burke VA 22015-3704 Ph: (703) 508-2188 | Brightwhites, P.c. 6214 Old Franconia Rd Ste A Alexandria VA 22310-3400 Ph: (703) 719-6158 |
| NPI Number | 1871023507 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 06/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871023507 | NPI | - | NPPES |
| 1205026283 | Other | DC | GENERAL DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401412187 (Virginia) | Primary |
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