Kevin James Salinas, Dds, Pc | |
4893 Prince William Pkwy Ste 101 Woodbridge VA 22192-5404 | |
(703) 494-2226 | |
Not Available |
Full Name | Kevin James Salinas, Dds, Pc |
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Speciality | Dentist - General Practice |
Location | 4893 Prince William Pkwy Ste 101, Woodbridge, Virginia |
Authorized Official Name and Position | Kevin James Salinas (OWNER/ PRESIDENT) |
Authorized Official Contact | 2022302579 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kevin James Salinas, Dds, Pc 13175 Marina Way Apt 509 Woodbridge VA 22191-1277 Ph: (202) 230-2579 | Kevin James Salinas, Dds, Pc 4893 Prince William Pkwy Ste 101 Woodbridge VA 22192-5404 Ph: (703) 494-2226 |
NPI Number | 1295343739 |
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Provider Enumeration Date | 07/21/2020 |
Last Update Date | 07/30/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295343739 | NPI | - | NPPES |
0401416542 | Other | VA | VA DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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