| Columbia Pike Dental Pc | |
|
5555 Columbia Pike Ste 102 Arlington VA 22204-3117 | |
| (703) 820-8282 | |
| (703) 820-8283 |
| Full Name | Columbia Pike Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 5555 Columbia Pike Ste 102, Arlington, Virginia |
| Authorized Official Name and Position | Jenny O Nguyen (OFFICE MANAGER) |
| Authorized Official Contact | 7038208282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Pike Dental Pc 5555 Columbia Pike Ste 102 Arlington VA 22204-3117 Ph: (703) 820-8282 | Columbia Pike Dental Pc 5555 Columbia Pike Ste 102 Arlington VA 22204-3117 Ph: (703) 820-8282 |
| NPI Number | 1841683471 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 03/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841683471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 040112610 (Virginia) | Primary |
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