| Superkids Pediatric Dentistry | |
|
46175 Westlake Dr Suite 420 Sterling VA 20165-5873 | |
| (703) 774-0014 | |
| (410) 430-8215 |
| Full Name | Superkids Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 46175 Westlake Dr, Sterling, Virginia |
| Authorized Official Name and Position | Ben Liu (OWNER) |
| Authorized Official Contact | 9194232520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superkids Pediatric Dentistry 46175 Westlake Dr Suite 420 Sterling VA 20165-5873 Ph: (703) 774-0014 | Superkids Pediatric Dentistry 46175 Westlake Dr Suite 420 Sterling VA 20165-5873 Ph: (703) 774-0014 |
| NPI Number | 1932531142 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 07/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932531142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401413997 (Virginia) | Primary |
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