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2501 N Glebe Rd Suite #200 Arlington VA 22207-3558 | |
| (703) 524-7100 | |
| (703) 524-3523 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2501 N Glebe Rd, Arlington, Virginia |
| Authorized Official Name and Position | Bruce Hanley (OWNER) |
| Authorized Official Contact | 7035247100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2501 N Glebe Rd Suite #200 Arlington VA 22207-3558 Ph: (703) 524-7100 | 2501 N Glebe Rd Suite #200 Arlington VA 22207-3558 Ph: (703) 524-7100 |
| NPI Number | 1164631388 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164631388 | NPI | - | NPPES |
| 1427097161 | Other | VA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401006818 (Virginia) | Primary |
Gentle Care Dentists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 N Stuart Street, Suite 101, Arlington, VA 22203 Phone: 703-822-5583 | |
Riverside Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 S Clark St Ste 105, Arlington, VA 22202 Phone: 703-740-8978 Fax: 571-464-6588 | |