| Fc Dental | |
|
3975 Fair Ridge Dr Suite #301n Fairfax VA 22033-2911 | |
| (703) 385-5455 | |
| Not Available |
| Full Name | Fc Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3975 Fair Ridge Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Michael S. Song (DENTIST/OWNER) |
| Authorized Official Contact | 7033855455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fc Dental 3975 Fair Ridge Dr Suite #301n Fairfax VA 22033-2911 Ph: (703) 385-5455 | Fc Dental 3975 Fair Ridge Dr Suite #301n Fairfax VA 22033-2911 Ph: (703) 385-5455 |
| NPI Number | 1336512342 |
|---|---|
| Provider Enumeration Date | 11/12/2015 |
| Last Update Date | 11/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336512342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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