| Merrifield Dental Group Pllc | |
|
2810 Old Lee Hwy Ste 200a Fairfax VA 22031-4376 | |
| (703) 945-2200 | |
| Not Available |
| Full Name | Merrifield Dental Group Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2810 Old Lee Hwy Ste 200a, Fairfax, Virginia |
| Authorized Official Name and Position | Geith Kallas (OWNER) |
| Authorized Official Contact | 7036223300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrifield Dental Group Pllc 8310 Old Courthouse Rd Ste A Vienna VA 22182-3872 Ph: () - | Merrifield Dental Group Pllc 2810 Old Lee Hwy Ste 200a Fairfax VA 22031-4376 Ph: (703) 945-2200 |
| NPI Number | 1790486827 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790486827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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