| Springfield Oral Surgery, Pc | |
|
6120 Brandon Ave Suite 301 Springfield VA 22150-2522 | |
| (703) 436-4633 | |
| Not Available |
| Full Name | Springfield Oral Surgery, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6120 Brandon Ave, Springfield, Virginia |
| Authorized Official Name and Position | Snehal Patel (OWNER) |
| Authorized Official Contact | 7034364633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Oral Surgery, Pc 6120 Brandon Ave Suite 301 Springfield VA 22150-2522 Ph: () - | Springfield Oral Surgery, Pc 6120 Brandon Ave Suite 301 Springfield VA 22150-2522 Ph: (703) 436-4633 |
| NPI Number | 1013260983 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 02/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013260983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401411948 (Virginia) | Primary |
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