| Dulles Dental | |
|
5103 Westfields Blvd Centreville VA 20120-4365 | |
| (703) 802-8999 | |
| (703) 802-4704 |
| Full Name | Dulles Dental |
|---|---|
| Speciality | Dentist |
| Location | 5103 Westfields Blvd, Centreville, Virginia |
| Authorized Official Name and Position | Zia Ahmadzada (OWNER) |
| Authorized Official Contact | 7038028999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dulles Dental 5103 Westfields Blvd Centreville VA 20120-4365 Ph: (703) 802-8999 | Dulles Dental 5103 Westfields Blvd Centreville VA 20120-4365 Ph: (703) 802-8999 |
| NPI Number | 1619355385 |
|---|---|
| Provider Enumeration Date | 05/13/2015 |
| Last Update Date | 05/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619355385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401410639 (Virginia) | Primary |
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