| Dolley Madison Dentistry | |
|
1313 Dolley Madison Blvd Ste 209 Mc Lean VA 22101-3926 | |
| (703) 356-7890 | |
| Not Available |
| Full Name | Dolley Madison Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1313 Dolley Madison Blvd Ste 209, Mc Lean, Virginia |
| Authorized Official Name and Position | Brad D Wiltbank (OWNER) |
| Authorized Official Contact | 7033567890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dolley Madison Dentistry 1313 Dolley Madison Blvd Ste 209 Mc Lean VA 22101-3926 Ph: () - | Dolley Madison Dentistry 1313 Dolley Madison Blvd Ste 209 Mc Lean VA 22101-3926 Ph: (703) 356-7890 |
| NPI Number | 1528468402 |
|---|---|
| Provider Enumeration Date | 08/28/2014 |
| Last Update Date | 09/08/2014 |
| Medicare PECOS PAC ID | 9739401753 |
|---|---|
| Medicare Enrollment ID | O20141202002160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528468402 | NPI | - | NPPES |
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