Family Dental Of Fairfax City | |
10721 Main St Ste 100 Fairfax VA 22030-6913 | |
(703) 865-8829 | |
Not Available |
Full Name | Family Dental Of Fairfax City |
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Speciality | Clinic/center - Dental |
Location | 10721 Main St Ste 100, Fairfax, Virginia |
Authorized Official Name and Position | Patricia Dary (OWNER) |
Authorized Official Contact | 5714264579 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Dental Of Fairfax City 12791 Fair Briar Ln Fairfax VA 22033-3850 Ph: (571) 426-4579 | Family Dental Of Fairfax City 10721 Main St Ste 100 Fairfax VA 22030-6913 Ph: (703) 865-8829 |
NPI Number | 1710477815 |
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Provider Enumeration Date | 05/14/2018 |
Last Update Date | 05/14/2018 |
Identifier | Type | State | Issuer |
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1710477815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 0401414585 (Virginia) | Primary |
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