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5401b Langston Blvd Arlington VA 22207-1632 | |
| (703) 536-7846 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5401b Langston Blvd, Arlington, Virginia |
| Authorized Official Name and Position | Casey Lonabocker (VP OPERATIONS & STRATEGY) |
| Authorized Official Contact | 6175353364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
131 Dartmouth St Fl 3 Boston MA 02116-5297 Ph: (617) 535-3305 | 5401b Langston Blvd Arlington VA 22207-1632 Ph: (703) 536-7846 |
| NPI Number | 1841929106 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841929106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Gentle Care Dentists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 N Stuart Street, Suite 101, Arlington, VA 22203 Phone: 703-822-5583 | |
Riverside Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 S Clark St Ste 105, Arlington, VA 22202 Phone: 703-740-8978 Fax: 571-464-6588 | |