| Neibauer Dental Care - Manassas | |
|
10051 Market Cir Manassas VA 20110-2120 | |
| (571) 921-9103 | |
| (703) 335-5161 |
| Full Name | Neibauer Dental Care - Manassas |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10051 Market Cir, Manassas, Virginia |
| Authorized Official Name and Position | Kim Wilson (CREDENTIALING COORD.) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neibauer Dental Care - Manassas 10051 Market Cir Manassas VA 20110-2120 Ph: (571) 921-9103 | Neibauer Dental Care - Manassas 10051 Market Cir Manassas VA 20110-2120 Ph: (571) 921-9103 |
| NPI Number | 1295002814 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 11/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295002814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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