| Charles A Nardiello, D.m.d.,p.c. | |
|
11200 Lee Hwy Fairfax VA 22030-5045 | |
| (703) 591-5637 | |
| (703) 591-7934 |
| Full Name | Charles A Nardiello, D.m.d.,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11200 Lee Hwy, Fairfax, Virginia |
| Authorized Official Name and Position | Charles A. Nardiello (PRESIDENT) |
| Authorized Official Contact | 7035915637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles A Nardiello, D.m.d.,p.c. 11200 Lee Hwy Fairfax VA 22030-5045 Ph: (703) 591-5637 | Charles A Nardiello, D.m.d.,p.c. 11200 Lee Hwy Fairfax VA 22030-5045 Ph: (703) 591-5637 |
| NPI Number | 1417085135 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417085135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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