| Oasis Pediatric Dental Care, Pc | |
|
800 W Broad St Suite 307 Falls Church VA 22046-3142 | |
| (703) 854-1710 | |
| Not Available |
| Full Name | Oasis Pediatric Dental Care, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 800 W Broad St, Falls Church, Virginia |
| Authorized Official Name and Position | Nathalie Phaeton (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 7038541710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Pediatric Dental Care, Pc 800 W Broad St Suite 307 Falls Church VA 22046-3142 Ph: (703) 854-1710 | Oasis Pediatric Dental Care, Pc 800 W Broad St Suite 307 Falls Church VA 22046-3142 Ph: (703) 854-1710 |
| NPI Number | 1497075220 |
|---|---|
| Provider Enumeration Date | 06/03/2010 |
| Last Update Date | 01/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497075220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0401411508 (Virginia) | Primary |
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