| Centreville Dental Wellness Center | |
|
14245f Centreville Sq Centreville VA 20121-2368 | |
| (703) 815-0775 | |
| (703) 222-7557 |
| Full Name | Centreville Dental Wellness Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14245f Centreville Sq, Centreville, Virginia |
| Authorized Official Name and Position | Rena Vakay (PRESIDENT) |
| Authorized Official Contact | 7038150775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centreville Dental Wellness Center 14245f Centreville Sq Centreville VA 20121-2368 Ph: (703) 815-0775 | Centreville Dental Wellness Center 14245f Centreville Sq Centreville VA 20121-2368 Ph: (703) 815-0775 |
| NPI Number | 1285914796 |
|---|---|
| Provider Enumeration Date | 08/29/2011 |
| Last Update Date | 11/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285914796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401006027 (Virginia) | Primary |
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