| Stone Ridge Family Dentistry | |
|
24585 Stone Carver Drive Suite 225 Aldie VA 20105 | |
| (703) 327-0190 | |
| (703) 327-0129 |
| Full Name | Stone Ridge Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 24585 Stone Carver Drive, Aldie, Virginia |
| Authorized Official Name and Position | Theresa Flores (OFFICE MANAGER) |
| Authorized Official Contact | 7033270190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Ridge Family Dentistry 24585 Stone Carver Drive Suite 225 Aldie VA 20105 Ph: (703) 327-0190 | Stone Ridge Family Dentistry 24585 Stone Carver Drive Suite 225 Aldie VA 20105 Ph: (703) 327-0190 |
| NPI Number | 1427508845 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427508845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 040141211 (Virginia) | Primary |
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