| Peter Son, Dds Pc | |
|
10623 Braddock Rd Fairfax VA 22032-2202 | |
| (703) 385-6960 | |
| Not Available |
| Full Name | Peter Son, Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10623 Braddock Rd, Fairfax, Virginia |
| Authorized Official Name and Position | Peter Son (PRESIDENT) |
| Authorized Official Contact | 5715287570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Son, Dds Pc 10623 Braddock Rd Fairfax VA 22032-2202 Ph: (703) 385-6960 | Peter Son, Dds Pc 10623 Braddock Rd Fairfax VA 22032-2202 Ph: (703) 385-6960 |
| NPI Number | 1578203824 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 04/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578203824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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