| Prince William Health District Dental | |
|
9301 Lee Ave Manassas VA 20110 | |
| (703) 792-6300 | |
| (703) 792-6338 |
| Full Name | Prince William Health District Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9301 Lee Ave, Manassas, Virginia |
| Authorized Official Name and Position | Alison Ansher (HEALTH DIRECTOR) |
| Authorized Official Contact | 7037926300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prince William Health District Dental 9301 Lee Ave Manassas VA 20110 Ph: (703) 792-6300 | Prince William Health District Dental 9301 Lee Ave Manassas VA 20110 Ph: (703) 792-6300 |
| NPI Number | 1124110085 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124110085 | NPI | - | NPPES |
| 13761 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Virginia) | Primary |
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