| Gd Va Fairlington, Pllc | |
|
4850 31st St S Ste A Arlington VA 22206-1661 | |
| (703) 671-1001 | |
| Not Available |
| Full Name | Gd Va Fairlington, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4850 31st St S Ste A, Arlington, Virginia |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gd Va Fairlington, Pllc 4850 31st St S Ste A Arlington VA 22206-1661 Ph: (703) 671-1001 | Gd Va Fairlington, Pllc 4850 31st St S Ste A Arlington VA 22206-1661 Ph: (703) 671-1001 |
| NPI Number | 1215646161 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 11/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215646161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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