| Potomac Falls Orthodontics | |
|
46950 Jennings Farm Dr Suite 160 Sterling VA 20164-8679 | |
| (703) 430-2767 | |
| Not Available |
| Full Name | Potomac Falls Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 46950 Jennings Farm Dr, Sterling, Virginia |
| Authorized Official Name and Position | Neal Kravitz (OWNER) |
| Authorized Official Contact | 7036382467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Falls Orthodontics 46950 Jennings Farm Dr Suite 160 Sterling VA 20164-8679 Ph: () - | Potomac Falls Orthodontics 46950 Jennings Farm Dr Suite 160 Sterling VA 20164-8679 Ph: (703) 430-2767 |
| NPI Number | 1942696513 |
|---|---|
| Provider Enumeration Date | 04/10/2015 |
| Last Update Date | 03/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942696513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 401411350 (Virginia) | Primary |
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