| Kids & Family Dental, P.c. | |
|
9012 Mathis Ave Manassas VA 20110-5218 | |
| (571) 921-1111 | |
| Not Available |
| Full Name | Kids & Family Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9012 Mathis Ave, Manassas, Virginia |
| Authorized Official Name and Position | Jeremy Hodge (OWNER) |
| Authorized Official Contact | 5719211111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids & Family Dental, P.c. 9012 Mathis Ave Manassas VA 20110-5218 Ph: (571) 921-1111 | Kids & Family Dental, P.c. 9012 Mathis Ave Manassas VA 20110-5218 Ph: (571) 921-1111 |
| NPI Number | 1689933582 |
|---|---|
| Provider Enumeration Date | 05/11/2012 |
| Last Update Date | 05/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689933582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401413527 (Virginia) | Primary |
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