Dental Associates Of Northern Virginia Fairfax, Pllc | |
5417 Backlick Rd Suite D Springfield VA 22151-3915 | |
(703) 750-9404 | |
Not Available |
Full Name | Dental Associates Of Northern Virginia Fairfax, Pllc |
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Speciality | Dentist |
Location | 5417 Backlick Rd, Springfield, Virginia |
Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
Authorized Official Contact | 9419553150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Associates Of Northern Virginia Fairfax, Pllc 5417 Backlick Rd Suite D Springfield VA 22151-3915 Ph: () - | Dental Associates Of Northern Virginia Fairfax, Pllc 5417 Backlick Rd Suite D Springfield VA 22151-3915 Ph: (703) 750-9404 |
NPI Number | 1316309412 |
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Provider Enumeration Date | 03/28/2016 |
Last Update Date | 03/28/2016 |
Identifier | Type | State | Issuer |
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1316309412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (Virginia) | Primary |
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