Grace Dental Of Virginia, Llc | |
4530 Walney Rd Suite 102 Chantilly VA 20151-2284 | |
(703) 870-7784 | |
Not Available |
Full Name | Grace Dental Of Virginia, Llc |
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Speciality | Dentist - General Practice |
Location | 4530 Walney Rd, Chantilly, Virginia |
Authorized Official Name and Position | Samer Jarwa (DENTIST) |
Authorized Official Contact | 7038707784 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grace Dental Of Virginia, Llc 4530 Walney Rd Suite 102 Chantilly VA 20151-2284 Ph: (703) 870-7784 | Grace Dental Of Virginia, Llc 4530 Walney Rd Suite 102 Chantilly VA 20151-2284 Ph: (703) 870-7784 |
NPI Number | 1700212511 |
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Provider Enumeration Date | 09/25/2013 |
Last Update Date | 09/25/2013 |
Identifier | Type | State | Issuer |
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1700212511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 0401412081 (Virginia) | Primary |
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