Fairfax Oral And Maxillofacial Surgery Pc | |
10530 Rosehaven St Suite 111 Fairfax VA 22030-2840 | |
(703) 385-5777 | |
(703) 591-5386 |
Full Name | Fairfax Oral And Maxillofacial Surgery Pc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 10530 Rosehaven St, Fairfax, Virginia |
Authorized Official Name and Position | Julia M Spradlin (ADMINISTRATOR) |
Authorized Official Contact | 7033855777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fairfax Oral And Maxillofacial Surgery Pc 10530 Rosehaven St Suite 111 Fairfax VA 22030-2840 Ph: (703) 385-5777 | Fairfax Oral And Maxillofacial Surgery Pc 10530 Rosehaven St Suite 111 Fairfax VA 22030-2840 Ph: (703) 385-5777 |
NPI Number | 1710907134 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 04/27/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710907134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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