| Dental Professionals Of Virginia, P.c. | |
|
7015 Old Keene Mill Rd Ste 101 Springfield VA 22150-2805 | |
| (703) 879-6939 | |
| Not Available |
| Full Name | Dental Professionals Of Virginia, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7015 Old Keene Mill Rd Ste 101, Springfield, Virginia |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Virginia, P.c. 7015 Old Keene Mill Rd Ste 101 Springfield VA 22150-2805 Ph: () - | Dental Professionals Of Virginia, P.c. 7015 Old Keene Mill Rd Ste 101 Springfield VA 22150-2805 Ph: (703) 879-6939 |
| NPI Number | 1356969034 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356969034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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