| |
7426 Alban Station Blvd Ste B202 Springfield VA 22150-2323 | |
(317) 989-9730 | |
Not Available |
Full Name | |
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Speciality | Dentist - Endodontics |
Location | 7426 Alban Station Blvd Ste B202, Springfield, Virginia |
Authorized Official Name and Position | Anmar Al-janabi (OWNER) |
Authorized Official Contact | 5713030313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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43145 Valiant Dr Chantilly VA 20152-3423 Ph: (317) 989-9730 | 7426 Alban Station Blvd Ste B202 Springfield VA 22150-2323 Ph: (317) 989-9730 |
NPI Number | 1841000239 |
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Provider Enumeration Date | 01/09/2025 |
Last Update Date | 01/13/2025 |
Identifier | Type | State | Issuer |
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1841000239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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