| Dr Ricardo M Gaitan Dds/pc | |
|
8301 Arlington Blvd Suite #403 Fairfax VA 22031-2902 | |
| (703) 206-0466 | |
| (703) 206-0479 |
| Full Name | Dr Ricardo M Gaitan Dds/pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8301 Arlington Blvd, Fairfax, Virginia |
| Authorized Official Name and Position | Ricardo Moises Gaitan (GENERAL DENTIST) |
| Authorized Official Contact | 7032060466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ricardo M Gaitan Dds/pc 8301 Arlington Blvd Suite #403 Fairfax VA 22031-2902 Ph: (703) 206-0466 | Dr Ricardo M Gaitan Dds/pc 8301 Arlington Blvd Suite #403 Fairfax VA 22031-2902 Ph: (703) 206-0466 |
| NPI Number | 1639346182 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639346182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401008771 (Virginia) | Primary |
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