| Lake Manassa Dental Center | |
|
7915 Lake Manassas Dr Ste 115 Gainesville VA 20155 | |
| (646) 641-8825 | |
| Not Available |
| Full Name | Lake Manassa Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 7915 Lake Manassas Dr, Gainesville, Virginia |
| Authorized Official Name and Position | Long Nguyen (MEMBER) |
| Authorized Official Contact | 6466418825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Manassa Dental Center 6911 Stanwick Sq Gainesville VA 20155-4424 Ph: (646) 641-8825 | Lake Manassa Dental Center 7915 Lake Manassas Dr Ste 115 Gainesville VA 20155 Ph: (646) 641-8825 |
| NPI Number | 1356539100 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 10/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356539100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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