| Parker-gray Pediatric Dental Care, Pc | |
|
224 N Fayette St Alexandria VA 22314-2433 | |
| (703) 519-7275 | |
| (703) 519-7276 |
| Full Name | Parker-gray Pediatric Dental Care, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 224 N Fayette St, Alexandria, Virginia |
| Authorized Official Name and Position | Kesha Stephenson (DDS/OWNER) |
| Authorized Official Contact | 3016519592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parker-gray Pediatric Dental Care, Pc 224 N Fayette St Alexandria VA 22314-2433 Ph: (703) 519-7275 | Parker-gray Pediatric Dental Care, Pc 224 N Fayette St Alexandria VA 22314-2433 Ph: (703) 519-7275 |
| NPI Number | 1609291533 |
|---|---|
| Provider Enumeration Date | 03/01/2014 |
| Last Update Date | 03/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609291533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0401413943 (Virginia) | Primary |
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