| Centreville Children's Dentistry, Pc | |
|
14245m Centreville Sq Centreville VA 20121-2368 | |
| (703) 715-9555 | |
| Not Available |
| Full Name | Centreville Children's Dentistry, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14245m Centreville Sq, Centreville, Virginia |
| Authorized Official Name and Position | Ruksana Talaksi (DENTIST/OWNER) |
| Authorized Official Contact | 7037159555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centreville Children's Dentistry, Pc 14245m Centreville Sq Centreville VA 20121-2368 Ph: (703) 715-9555 | Centreville Children's Dentistry, Pc 14245m Centreville Sq Centreville VA 20121-2368 Ph: (703) 715-9555 |
| NPI Number | 1144406901 |
|---|---|
| Provider Enumeration Date | 01/11/2008 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144406901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Virginia) | Primary |
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