| Samuel Dental Group | |
|
8301 Arlington Blvd Ste. 207 Fairfax VA 22031-2902 | |
| (571) 297-4302 | |
| Not Available |
| Full Name | Samuel Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 8301 Arlington Blvd, Fairfax, Virginia |
| Authorized Official Name and Position | Evelyn Samuel (DENTIST) |
| Authorized Official Contact | 5712974302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Dental Group 8301 Arlington Blvd Ste. 207 Fairfax VA 22031-2902 Ph: (571) 297-4302 | Samuel Dental Group 8301 Arlington Blvd Ste. 207 Fairfax VA 22031-2902 Ph: (571) 297-4302 |
| NPI Number | 1144769639 |
|---|---|
| Provider Enumeration Date | 02/16/2017 |
| Last Update Date | 02/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144769639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401413391 (Virginia) | Primary |
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