| Sudley Manor Dental Care | |
|
10482 Sudley Manor Drive Manassas VA 20109 | |
| (703) 369-9100 | |
| (703) 365-2000 |
| Full Name | Sudley Manor Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10482 Sudley Manor Drive, Manassas, Virginia |
| Authorized Official Name and Position | William B Ossakow (OWNER/DDS) |
| Authorized Official Contact | 7038628577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sudley Manor Dental Care 10482 Sudley Manor Drive Manassas VA 20109 Ph: (703) 369-9100 | Sudley Manor Dental Care 10482 Sudley Manor Drive Manassas VA 20109 Ph: (703) 369-9100 |
| NPI Number | 1033508734 |
|---|---|
| Provider Enumeration Date | 01/19/2015 |
| Last Update Date | 06/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033508734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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