| Potomac River Orthodontics Pllc | |
|
12701 Galveston Ct Manassas VA 20112-8674 | |
| (703) 670-0202 | |
| Not Available |
| Full Name | Potomac River Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12701 Galveston Ct, Manassas, Virginia |
| Authorized Official Name and Position | Owais Naeem (ORTHODONTIST) |
| Authorized Official Contact | 7038393949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac River Orthodontics Pllc 4215 Windermere View Pl Woodbridge VA 22192-5578 Ph: (703) 839-3949 | Potomac River Orthodontics Pllc 12701 Galveston Ct Manassas VA 20112-8674 Ph: (703) 670-0202 |
| NPI Number | 1730876764 |
|---|---|
| Provider Enumeration Date | 04/19/2023 |
| Last Update Date | 04/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730876764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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