| Pediatric Dental Care | |
|
9901 Fairfax Blvd. Fairfax VA 22030-3058 | |
| (703) 383-3434 | |
| (703) 383-3113 |
| Full Name | Pediatric Dental Care |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9901 Fairfax Blvd., Fairfax, Virginia |
| Authorized Official Name and Position | John Han (PRESIDENT) |
| Authorized Official Contact | 7039925842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Care 9901 Fairfax Blvd Fairfax VA 22030-1740 Ph: (703) 383-3434 | Pediatric Dental Care 9901 Fairfax Blvd. Fairfax VA 22030-3058 Ph: (703) 383-3434 |
| NPI Number | 1982875316 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 04/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982875316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0401410533 (Virginia) | Primary |
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