| Dulles Dental Center, P.c. | |
|
1035 Sterling Rd Suite 204 Herndon VA 20170-3868 | |
| (703) 471-8080 | |
| (703) 471-5354 |
| Full Name | Dulles Dental Center, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1035 Sterling Rd, Herndon, Virginia |
| Authorized Official Name and Position | Firouzeh Abbassi (OFFICE MANAGER) |
| Authorized Official Contact | 7034718080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dulles Dental Center, P.c. 1035 Sterling Rd Suite 204 Herndon VA 20170-3838 Ph: (703) 471-8080 | Dulles Dental Center, P.c. 1035 Sterling Rd Suite 204 Herndon VA 20170-3868 Ph: (703) 471-8080 |
| NPI Number | 1730391723 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 01/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730391723 | NPI | - | NPPES |
| 2407323 | Other | NJ | DELTA DENTAL-NEW JERSEY |
| 602999 | Other | UNITED CONCORDIA | |
| Z81548 | Other | MA | BCBS-MASSACHUSETTS |
| 8724 | Other | MD | BCBS-MARYLAND |
| 069063 | Other | ANTHEM-TRIGON | |
| 412173 | Other | TN | BCBS-TENNESSEE |
| 923-87911 | Other | AL | BCBS-ALABAMA |
| 2155650 | Other | MAMSI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401007323 (Virginia) | Primary |
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