Dentistry For Children Of Virginia Llc | |
13015 Worldgate Dr Herndon VA 20170-4374 | |
(404) 389-1950 | |
Not Available |
Full Name | Dentistry For Children Of Virginia Llc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 13015 Worldgate Dr, Herndon, Virginia |
Authorized Official Name and Position | Jeannine Bartch (MANAGER) |
Authorized Official Contact | 4043891950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dentistry For Children Of Virginia Llc 1350 Spring St Nw Ste 600 Atlanta GA 30309-2870 Ph: (404) 389-1950 | Dentistry For Children Of Virginia Llc 13015 Worldgate Dr Herndon VA 20170-4374 Ph: (404) 389-1950 |
NPI Number | 1730589854 |
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Provider Enumeration Date | 08/26/2014 |
Last Update Date | 08/28/2014 |
Identifier | Type | State | Issuer |
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1730589854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 0401414164 (Virginia) | Primary |
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