The Tooth Doc Family Dentistry | |
2465 Centreville Rd Ste J-15 Herndon VA 20171-4586 | |
(703) 793-0291 | |
(703) 793-0292 |
Full Name | The Tooth Doc Family Dentistry |
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Speciality | Dentist |
Location | 2465 Centreville Rd, Herndon, Virginia |
Authorized Official Name and Position | Imaney Ahmad (DENTIST) |
Authorized Official Contact | 7037930291 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Tooth Doc Family Dentistry 2465 Centreville Rd Ste J-15 Herndon VA 20171-4586 Ph: (703) 793-0291 | The Tooth Doc Family Dentistry 2465 Centreville Rd Ste J-15 Herndon VA 20171-4586 Ph: (703) 793-0291 |
NPI Number | 1295157501 |
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Provider Enumeration Date | 01/07/2014 |
Last Update Date | 01/07/2014 |
Identifier | Type | State | Issuer |
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1295157501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0401412948 (Virginia) | Primary |
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