Lorton Dental Impant, Oral & Facial Surgery | |
9010 Lorton Station Blvd Suite 140 Lorton VA 22079-4792 | |
(703) 436-4633 | |
(703) 372-1210 |
Full Name | Lorton Dental Impant, Oral & Facial Surgery |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 9010 Lorton Station Blvd, Lorton, Virginia |
Authorized Official Name and Position | Snehal Patel (OWNER) |
Authorized Official Contact | 3478862844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lorton Dental Impant, Oral & Facial Surgery 604 Beulah Rd Ne Vienna VA 22180-3511 Ph: (347) 886-2844 | Lorton Dental Impant, Oral & Facial Surgery 9010 Lorton Station Blvd Suite 140 Lorton VA 22079-4792 Ph: (703) 436-4633 |
NPI Number | 1861625154 |
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Provider Enumeration Date | 09/02/2009 |
Last Update Date | 06/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861625154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401411948 (Virginia) | Primary |
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