| Riverside Dental Family & Cosmetic Dentistry | |
|
19490 Sandridge Way Ste 110 Lansdowne VA 20176-3470 | |
| (703) 729-7447 | |
| (703) 858-0448 |
| Full Name | Riverside Dental Family & Cosmetic Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 19490 Sandridge Way Ste 110, Lansdowne, Virginia |
| Authorized Official Name and Position | Sameh M Kassem (OWNER) |
| Authorized Official Contact | 7037297447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Dental Family & Cosmetic Dentistry 19490 Sandridge Way Ste 110 Lansdowne VA 20176-3470 Ph: (703) 729-7447 | Riverside Dental Family & Cosmetic Dentistry 19490 Sandridge Way Ste 110 Lansdowne VA 20176-3470 Ph: (703) 729-7447 |
| NPI Number | 1023583051 |
|---|---|
| Provider Enumeration Date | 10/05/2018 |
| Last Update Date | 10/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023583051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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