| Capital Esthetics And Family Dentistry Plc | |
|
133 Maple Ave E #204 Vienna VA 22180-5741 | |
| (704) 255-0040 | |
| Not Available |
| Full Name | Capital Esthetics And Family Dentistry Plc |
|---|---|
| Speciality | Dentist |
| Location | 133 Maple Ave E, Vienna, Virginia |
| Authorized Official Name and Position | Diane Pham (DENTIST) |
| Authorized Official Contact | 7032550040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Esthetics And Family Dentistry Plc 133 Maple Ave E #204 Vienna VA 22180-5741 Ph: (704) 255-0040 | Capital Esthetics And Family Dentistry Plc 133 Maple Ave E #204 Vienna VA 22180-5741 Ph: (704) 255-0040 |
| NPI Number | 1598153058 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 01/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598153058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401008933 (Virginia) | Primary |
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