| Kidz Dentistry | |
|
14631 Lee Hwy, Suites 406-407 Centreville VA 20121 | |
| (703) 222-0111 | |
| (703) 222-0888 |
| Full Name | Kidz Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14631 Lee Hwy, Suites 406-407, Centreville, Virginia |
| Authorized Official Name and Position | Tricia T. Tran (PRESIDENT) |
| Authorized Official Contact | 7032220111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidz Dentistry 14631 Lee Hwy, Suites 406-407 Centreville VA 20121 Ph: (703) 222-0111 | Kidz Dentistry 14631 Lee Hwy, Suites 406-407 Centreville VA 20121 Ph: (703) 222-0111 |
| NPI Number | 1548432271 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 07/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548432271 | NPI | - | NPPES |
| 9179211/10715 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0401410663 (Virginia) | Primary |
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