| Karis Dental | |
|
4290 Chain Bridge Rd Suite #202 Fairfax VA 22030-8157 | |
| (703) 828-6630 | |
| (888) 636-8702 |
| Full Name | Karis Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4290 Chain Bridge Rd, Fairfax, Virginia |
| Authorized Official Name and Position | Charles H. Park (DENTIST) |
| Authorized Official Contact | 7038530415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Karis Dental 4290 Chain Bridge Rd Suite #202 Fairfax VA 22030-8157 Ph: (703) 828-6630 | Karis Dental 4290 Chain Bridge Rd Suite #202 Fairfax VA 22030-8157 Ph: (703) 828-6630 |
| NPI Number | 1326595083 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 09/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326595083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401411122 (Virginia) | Primary |
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