| Kingstowne Pediatric Dentistry, Pllc | |
|
7025d Manchester Blvd Alexandria VA 22310-3227 | |
| (646) 912-8726 | |
| Not Available |
| Full Name | Kingstowne Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7025d Manchester Blvd, Alexandria, Virginia |
| Authorized Official Name and Position | My Tran (PARTNER) |
| Authorized Official Contact | 6469128726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingstowne Pediatric Dentistry, Pllc 3503 Pence Ct Annandale VA 22003-1426 Ph: (646) 912-8726 | Kingstowne Pediatric Dentistry, Pllc 7025d Manchester Blvd Alexandria VA 22310-3227 Ph: (646) 912-8726 |
| NPI Number | 1356696850 |
|---|---|
| Provider Enumeration Date | 07/20/2012 |
| Last Update Date | 08/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356696850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Virginia) | Primary |
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