|
| |
|
556 Garrisonville Rd Ste 208 Stafford VA 22554-7826 | |
| (540) 699-2414 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 556 Garrisonville Rd, Stafford, Virginia |
| Authorized Official Name and Position | Sun H Kim (DENTIST) |
| Authorized Official Contact | 5406992414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
556 Garrisonville Rd Ste 208 Stafford VA 22554-7826 Ph: () - | 556 Garrisonville Rd Ste 208 Stafford VA 22554-7826 Ph: (540) 699-2414 |
| NPI Number | 1255872016 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 03/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255872016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0141412496 (Virginia) | Primary |
Neibauer Dental Care, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 Publix Way Ste 120, Stafford, VA 22554 Phone: 540-779-0395 | |
Suite Tooth Pediatrics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 Garrisonville Rd, Stafford, VA 22556 Phone: 716-860-4238 | |
Sasan Ahmadiyar Dds & Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 Garrisonville Rd, Suite 108, Stafford, VA 22554 Phone: 540-657-7645 Fax: 540-657-1009 |