Prohealth Dentists Pllc | |
7805 Antiopi St Annandale VA 22003-1405 | |
(703) 662-5600 | |
Not Available |
Full Name | Prohealth Dentists Pllc |
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Speciality | Dentist |
Location | 7805 Antiopi St, Annandale, Virginia |
Authorized Official Name and Position | Brian Lee (PRESIDENT) |
Authorized Official Contact | 7036625600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prohealth Dentists Pllc 7805 Antiopi St Annandale VA 22003-1405 Ph: () - | Prohealth Dentists Pllc 7805 Antiopi St Annandale VA 22003-1405 Ph: (703) 662-5600 |
NPI Number | 1528446457 |
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Provider Enumeration Date | 05/12/2015 |
Last Update Date | 05/12/2015 |
Identifier | Type | State | Issuer |
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1528446457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0401411230 (Virginia) | Primary |
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