| Fairfax Smiles Dental Care Plc | |
|
3930 Pender Dr Suite110 Fairfax VA 22030-0985 | |
| (703) 359-9080 | |
| Not Available |
| Full Name | Fairfax Smiles Dental Care Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3930 Pender Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Vladimir Soyfer (MANAGER) |
| Authorized Official Contact | 7033599080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfax Smiles Dental Care Plc 3930 Pender Dr Suite110 Fairfax VA 22030-0985 Ph: (703) 359-9080 | Fairfax Smiles Dental Care Plc 3930 Pender Dr Suite110 Fairfax VA 22030-0985 Ph: (703) 359-9080 |
| NPI Number | 1285891911 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285891911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401410407 (Virginia) | Secondary |
| 261QD0000X | Clinic/center - Dental | 0401410407 (Virginia) | Primary |
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