Purcellville Pediatric Dentistry | |
17333 Pickwick Dr Purcellville VA 20132 | |
(540) 441-7627 | |
Not Available |
Full Name | Purcellville Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 17333 Pickwick Dr, Purcellville, Virginia |
Authorized Official Name and Position | Nooshin Monajemy (OWNER) |
Authorized Official Contact | 5404477627 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Purcellville Pediatric Dentistry 17333 Pickwick Dr Purcellville VA 20132-6173 Ph: (540) 441-7627 | Purcellville Pediatric Dentistry 17333 Pickwick Dr Purcellville VA 20132 Ph: (540) 441-7627 |
NPI Number | 1760828297 |
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Provider Enumeration Date | 05/10/2013 |
Last Update Date | 05/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760828297 | NPI | - | NPPES |
008220191 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 0401410184 (Virginia) | Primary |
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