| Pentagon Dental Pc | |
|
1425 S Eads St Ste 2 Arlington VA 22202-2884 | |
| (703) 789-9444 | |
| Not Available |
| Full Name | Pentagon Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1425 S Eads St Ste 2, Arlington, Virginia |
| Authorized Official Name and Position | Mouhammad Dahman (OWNER) |
| Authorized Official Contact | 7164403719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pentagon Dental Pc 1425 S Eads St Ste 2 Arlington VA 22202-2884 Ph: (703) 789-9444 | Pentagon Dental Pc 1425 S Eads St Ste 2 Arlington VA 22202-2884 Ph: (703) 789-9444 |
| NPI Number | 1912386541 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 06/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912386541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401411573 (Virginia) | Primary |
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