| Foxchase Dental Group, Pc | |
|
4607 Duke St Unit 19a Alexandria VA 22304-2505 | |
| (571) 899-5094 | |
| (571) 919-2648 |
| Full Name | Foxchase Dental Group, Pc |
|---|---|
| Speciality | Dentist |
| Location | 4607 Duke St Unit 19a, Alexandria, Virginia |
| Authorized Official Name and Position | Ali Shahrestani (OWNER) |
| Authorized Official Contact | 5718995094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foxchase Dental Group, Pc Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Foxchase Dental Group, Pc 4607 Duke St Unit 19a Alexandria VA 22304-2505 Ph: (571) 899-5094 |
| NPI Number | 1003569013 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003569013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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