| Centreville Dental Group | |
|
13890 Braddock Rd 202 Centreville VA 20121-2435 | |
| (703) 825-7339 | |
| Not Available |
| Full Name | Centreville Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 13890 Braddock Rd, Centreville, Virginia |
| Authorized Official Name and Position | Nandini Malghan (OWNER) |
| Authorized Official Contact | 7038257339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centreville Dental Group 13890 Braddock Rd 202 Centreville VA 20121-2435 Ph: () - | Centreville Dental Group 13890 Braddock Rd 202 Centreville VA 20121-2435 Ph: (703) 825-7339 |
| NPI Number | 1427438118 |
|---|---|
| Provider Enumeration Date | 06/08/2015 |
| Last Update Date | 06/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427438118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 040411063 (Virginia) | Primary |
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