| Dental One Associates (woodson Square), Ltd | |
|
9661 Main St Suite C Fairfax VA 22031-3757 | |
| (703) 425-3737 | |
| (703) 425-3762 |
| Full Name | Dental One Associates (woodson Square), Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9661 Main St, Fairfax, Virginia |
| Authorized Official Name and Position | Stephanie Gomez (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 3052742499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental One Associates (woodson Square), Ltd 9661 Main St Suite C Fairfax VA 22031-3757 Ph: (703) 425-3737 | Dental One Associates (woodson Square), Ltd 9661 Main St Suite C Fairfax VA 22031-3757 Ph: (703) 425-3737 |
| NPI Number | 1205048972 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205048972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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