| Family Orthodontics Of Virginia Llc | |
|
6225 Brandon Ave Ste 170 Springfield VA 22150-2525 | |
| (404) 389-1950 | |
| (678) 444-4152 |
| Full Name | Family Orthodontics Of Virginia Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6225 Brandon Ave Ste 170, Springfield, Virginia |
| Authorized Official Name and Position | Jeannine Bartch (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4043891950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Orthodontics Of Virginia Llc 1350 Spring St Nw Ste 600 Atlanta GA 30309-2870 Ph: (404) 389-1950 | Family Orthodontics Of Virginia Llc 6225 Brandon Ave Ste 170 Springfield VA 22150-2525 Ph: (404) 389-1950 |
| NPI Number | 1053714766 |
|---|---|
| Provider Enumeration Date | 10/08/2014 |
| Last Update Date | 10/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053714766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401414164 (Virginia) | Primary |
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