| Pearly Whites Family Dental | |
|
7227 Commerce St Springfield VA 22150-3411 | |
| (703) 992-7778 | |
| (571) 565-2204 |
| Full Name | Pearly Whites Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7227 Commerce St, Springfield, Virginia |
| Authorized Official Name and Position | Agustina N Mustafa (OFFICE MANAGER) |
| Authorized Official Contact | 7039927778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearly Whites Family Dental 7227 Commerce St Springfield VA 22150-3411 Ph: (703) 992-7778 | Pearly Whites Family Dental 7227 Commerce St Springfield VA 22150-3411 Ph: (703) 992-7778 |
| NPI Number | 1114357498 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 12/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114357498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 04014713726 (Virginia) | Primary |
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