| Family Dentistry Of Fairfax, P. C. | |
|
10391 Democracy Ln Ste A Fairfax VA 22030-2581 | |
| (703) 273-7999 | |
| (703) 273-7997 |
| Full Name | Family Dentistry Of Fairfax, P. C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10391 Democracy Ln, Fairfax, Virginia |
| Authorized Official Name and Position | Tehreem Butt (DENTIST) |
| Authorized Official Contact | 7032737999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of Fairfax, P. C. 10391 Democracy Ln Ste A Fairfax VA 22030-2581 Ph: (703) 273-7999 | Family Dentistry Of Fairfax, P. C. 10391 Democracy Ln Ste A Fairfax VA 22030-2581 Ph: (703) 273-7999 |
| NPI Number | 1679727275 |
|---|---|
| Provider Enumeration Date | 11/09/2008 |
| Last Update Date | 11/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679727275 | NPI | - | NPPES |
| 191779 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401411341 (Virginia) | Primary |
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