| Samtha Brotherton, Dds., Pc | |
|
5500 Holmes Run Pkwy Suite C-5 Alexandria VA 22304-2863 | |
| (703) 212-2001 | |
| Not Available |
| Full Name | Samtha Brotherton, Dds., Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5500 Holmes Run Pkwy, Alexandria, Virginia |
| Authorized Official Name and Position | Samtha Brotherton (PRESIDENT) |
| Authorized Official Contact | 7032122001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samtha Brotherton, Dds., Pc 5500 Holmes Run Pkwy Suite C-5 Alexandria VA 22304-2863 Ph: () - | Samtha Brotherton, Dds., Pc 5500 Holmes Run Pkwy Suite C-5 Alexandria VA 22304-2863 Ph: (703) 212-2001 |
| NPI Number | 1336379007 |
|---|---|
| Provider Enumeration Date | 07/16/2009 |
| Last Update Date | 07/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336379007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401410499 (Virginia) | Primary |
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