| United Dental Group | |
|
8133 Leesburg Pike Ste 150 Vienna VA 22182-2730 | |
| (703) 992-7888 | |
| Not Available |
| Full Name | United Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8133 Leesburg Pike Ste 150, Vienna, Virginia |
| Authorized Official Name and Position | Jeong Hoon Kim (PRESIDENT) |
| Authorized Official Contact | 7039927888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Dental Group 8133 Leesburg Pike Ste 150 Vienna VA 22182-2730 Ph: (703) 992-7888 | United Dental Group 8133 Leesburg Pike Ste 150 Vienna VA 22182-2730 Ph: (703) 992-7888 |
| NPI Number | 1528313400 |
|---|---|
| Provider Enumeration Date | 07/17/2012 |
| Last Update Date | 07/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528313400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Virginia) | Primary |
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