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9010 Lorton Station Blvd Suite 140 Lorton VA 22079-4792 | |
| (703) 436-4633 | |
| (703) 372-1210 |
| Full Name | |
|---|---|
| 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 |
|---|---|
604 Beulah Rd Ne Vienna VA 22180-3511 Ph: (347) 886-2844 | 9010 Lorton Station Blvd Suite 140 Lorton VA 22079-4792 Ph: (703) 436-4633 |
| NPI Number | 1861625154 |
|---|---|
| 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 |
Gentle Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9360 Richmond Hwy, Lorton, VA 22079 Phone: 703-495-9992 Fax: 703-495-9993 | |
United Dental Sleep Medicine, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9020 Lorton Station Blvd Unit F104, Lorton, VA 22079 Phone: 804-625-4066 Fax: 804-414-7491 | |