| Pdc Pediatric Dental Care Pllc | |
|
9901 Fairfax Blvd Fairfax VA 22030-1740 | |
| (703) 383-3434 | |
| Not Available |
| Full Name | Pdc Pediatric Dental Care Pllc |
|---|---|
| Speciality | Dentist |
| Location | 9901 Fairfax Blvd, Fairfax, Virginia |
| Authorized Official Name and Position | Michael Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 7274242990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdc Pediatric Dental Care Pllc 9901 Fairfax Blvd Fairfax VA 22030-1740 Ph: () - | Pdc Pediatric Dental Care Pllc 9901 Fairfax Blvd Fairfax VA 22030-1740 Ph: (703) 383-3434 |
| NPI Number | 1700547932 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 01/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700547932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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