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6011 Wilson Blvd Arlington VA 22205-1503 | |
| (703) 474-7968 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6011 Wilson Blvd, Arlington, Virginia |
| Authorized Official Name and Position | Jigmey Lhaze Dorjee (OWNER DENTIST) |
| Authorized Official Contact | 7034747968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6011 Wilson Blvd Arlington VA 22205-1503 Ph: () - | 6011 Wilson Blvd Arlington VA 22205-1503 Ph: (703) 474-7968 |
| NPI Number | 1093184970 |
|---|---|
| Provider Enumeration Date | 09/21/2015 |
| Last Update Date | 09/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093184970 | NPI | - | NPPES |
| 1801183736 | Other | VA | NPI-DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401413673 (Virginia) | Primary |
Gentle Care Dentists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 N Stuart Street, Suite 101, Arlington, VA 22203 Phone: 703-822-5583 | |
Riverside Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 S Clark St Ste 105, Arlington, VA 22202 Phone: 703-740-8978 Fax: 571-464-6588 | |