| First Impression Orthodontics Pc | |
|
6479 Old Beulah St Alexandria VA 22315 | |
| (703) 626-0333 | |
| Not Available |
| Full Name | First Impression Orthodontics Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6479 Old Beulah St, Alexandria, Virginia |
| Authorized Official Name and Position | Hung Quoc Chau Lu (PRESIDENT/ORTHODONTIST) |
| Authorized Official Contact | 7036260333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Impression Orthodontics Pc 6479 Old Beulah St Alexandria VA 22315 Ph: (703) 626-0333 | First Impression Orthodontics Pc 6479 Old Beulah St Alexandria VA 22315 Ph: (703) 626-0333 |
| NPI Number | 1801282314 |
|---|---|
| Provider Enumeration Date | 04/10/2015 |
| Last Update Date | 04/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801282314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401412785 (Virginia) | Primary |
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