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9439 Lorton Market St Lorton VA 22079-1963 | |
(703) 372-2728 | |
(703) 372-2728 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 9439 Lorton Market St, Lorton, Virginia |
Authorized Official Name and Position | Carmen Woods (INS COOD) |
Authorized Official Contact | 2175405100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9439 Lorton Market St Lorton VA 22079-1963 Ph: (703) 372-2728 | 9439 Lorton Market St Lorton VA 22079-1963 Ph: (703) 372-2728 |
NPI Number | 1447463443 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 01/11/2014 |
Identifier | Type | State | Issuer |
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1447463443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Gentle Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9360 Richmond Hwy, Lorton, VA 22079 Phone: 703-495-9992 Fax: 703-495-9993 | |
United Dental Sleep Medicine, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9020 Lorton Station Blvd Unit F104, Lorton, VA 22079 Phone: 804-625-4066 Fax: 804-414-7491 | |