My Braces Doctor, Pc | |
10721 Main St #300 Fairfax VA 22030-6914 | |
(703) 591-6686 | |
(703) 277-7674 |
Full Name | My Braces Doctor, Pc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 10721 Main St, Fairfax, Virginia |
Authorized Official Name and Position | Nahid N Sina (PRES) |
Authorized Official Contact | 7039667959 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
My Braces Doctor, Pc 10721 Main St #300 Fairfax VA 22030-6914 Ph: (703) 591-6686 | My Braces Doctor, Pc 10721 Main St #300 Fairfax VA 22030-6914 Ph: (703) 591-6686 |
NPI Number | 1285807370 |
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Provider Enumeration Date | 04/09/2008 |
Last Update Date | 04/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285807370 | NPI | - | NPPES |
LOCATION ID: 010495 | Medicaid | VA | |
PROVIDER NO: 0012081 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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