| Peter K Cocolis, Dmd And Associates, Pllc | |
|
5803 Rolling Rd Suite 211 Springfield VA 22152-1047 | |
| (703) 912-3800 | |
| (703) 912-3816 |
| Full Name | Peter K Cocolis, Dmd And Associates, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5803 Rolling Rd, Springfield, Virginia |
| Authorized Official Name and Position | Peter Konstantine Cocolis (DENTIST/OWNER) |
| Authorized Official Contact | 7039123800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter K Cocolis, Dmd And Associates, Pllc 5803 Rolling Rd Suite 211 Springfield VA 22152-1047 Ph: (703) 912-3800 | Peter K Cocolis, Dmd And Associates, Pllc 5803 Rolling Rd Suite 211 Springfield VA 22152-1047 Ph: (703) 912-3800 |
| NPI Number | 1568836526 |
|---|---|
| Provider Enumeration Date | 11/13/2015 |
| Last Update Date | 11/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568836526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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