J. Brian Queen, Dds, Pc | |
102 Elden St Suite 20 Herndon VA 20170-4868 | |
(703) 689-2480 | |
(703) 689-2482 |
Full Name | J. Brian Queen, Dds, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 102 Elden St, Herndon, Virginia |
Authorized Official Name and Position | J. Brian Queen (OWNER/DENTIST) |
Authorized Official Contact | 7036892480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
J. Brian Queen, Dds, Pc 102 Elden St Suite 20 Herndon VA 20170-4868 Ph: (703) 689-2480 | J. Brian Queen, Dds, Pc 102 Elden St Suite 20 Herndon VA 20170-4868 Ph: (703) 689-2480 |
NPI Number | 1174508196 |
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Provider Enumeration Date | 12/13/2005 |
Last Update Date | 02/06/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174508196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 0401007661 (Virginia) | Primary |
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