| Herndon Family And Cosmetic Dentistry | |
|
555 Grove St Suite 108 Herndon VA 20170-4705 | |
| (703) 787-7778 | |
| (571) 203-1390 |
| Full Name | Herndon Family And Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 555 Grove St, Herndon, Virginia |
| Authorized Official Name and Position | Elham Safari (OWNER) |
| Authorized Official Contact | 7037877778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herndon Family And Cosmetic Dentistry 555 Grove St Suite 108 Herndon VA 20170-4705 Ph: (703) 787-7778 | Herndon Family And Cosmetic Dentistry 555 Grove St Suite 108 Herndon VA 20170-4705 Ph: (703) 787-7778 |
| NPI Number | 1972799922 |
|---|---|
| Provider Enumeration Date | 09/23/2007 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972799922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401410994 (Virginia) | Primary |
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