| Dr. Elidia C. Fidel, Dds Plc | |
|
5555 Columbia Pike Suite 102 Arlington VA 22204-5852 | |
| (703) 575-9899 | |
| (703) 575-9890 |
| Full Name | Dr. Elidia C. Fidel, Dds Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5555 Columbia Pike, Arlington, Virginia |
| Authorized Official Name and Position | Elidia C Fidel (OWNER) |
| Authorized Official Contact | 7035759899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Elidia C. Fidel, Dds Plc 5555 Columbia Pike Suite 102 Arlington VI 22204-3117 Ph: (703) 575-9899 | Dr. Elidia C. Fidel, Dds Plc 5555 Columbia Pike Suite 102 Arlington VA 22204-5852 Ph: (703) 575-9899 |
| NPI Number | 1801013891 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 04/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801013891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401410491 (Virginia) | Primary |
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