| Virginia Dental Group Pllc | |
|
3911 Blenheim Blvd Ste 42c Fairfax VA 22030-2434 | |
| (703) 385-3800 | |
| (703) 890-0084 |
| Full Name | Virginia Dental Group Pllc |
|---|---|
| Speciality | Dentist - Orofacial Pain |
| Location | 3911 Blenheim Blvd Ste 42c, Fairfax, Virginia |
| Authorized Official Name and Position | Karen Puna (MANAGER) |
| Authorized Official Contact | 7033853800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Dental Group Pllc 3911 Blenheim Blvd Ste 42c Fairfax VA 22030-2434 Ph: (703) 385-3800 | Virginia Dental Group Pllc 3911 Blenheim Blvd Ste 42c Fairfax VA 22030-2434 Ph: (703) 385-3800 |
| NPI Number | 1114606811 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114606811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X2210X | Dentist - Orofacial Pain | (* (Not Available)) | Primary |
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