|
| |
|
5015 Columbia Pike Arlington VA 22204-2906 | |
| (703) 575-7776 | |
| (703) 575-7778 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5015 Columbia Pike, Arlington, Virginia |
| Authorized Official Name and Position | Vu Nguyen (OWNER) |
| Authorized Official Contact | 7035757776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5015 Columbia Pike Arlington VA 22204-2906 Ph: (703) 575-7776 | 5015 Columbia Pike Arlington VA 22204-2906 Ph: (703) 575-7776 |
| NPI Number | 1912199332 |
|---|---|
| Provider Enumeration Date | 08/10/2007 |
| Last Update Date | 08/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912199332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401410920 (Virginia) | Primary |
Gentle Care Dentists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 N Stuart Street, Suite 101, Arlington, VA 22203 Phone: 703-822-5583 | |
Riverside Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 S Clark St Ste 105, Arlington, VA 22202 Phone: 703-740-8978 Fax: 571-464-6588 | |