| Walnut Dental Associates, Llc | |
|
3930 Walnut St Ste 240 Fairfax VA 22030-4738 | |
| (703) 638-1420 | |
| (703) 638-1421 |
| Full Name | Walnut Dental Associates, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3930 Walnut St Ste 240, Fairfax, Virginia |
| Authorized Official Name and Position | Rolin S Henry (MEMBER) |
| Authorized Official Contact | 7036381420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walnut Dental Associates, Llc 3930 Walnut St Ste 240 Fairfax VA 22030-4738 Ph: (703) 638-1420 | Walnut Dental Associates, Llc 3930 Walnut St Ste 240 Fairfax VA 22030-4738 Ph: (703) 638-1420 |
| NPI Number | 1275125809 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275125809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12011 Lee Jackson Hwy, Suite 105, Fairfax, VA 22033 Phone: 703-273-5354 Fax: 703-273-8149 | |
Kim Quy Do Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8303 Arlington Blvd Ste 101, Fairfax, VA 22031 Phone: 703-876-2606 | |
Naturadent, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9508a Lee Hwy, Fairfax, VA 22031 Phone: 215-870-6186 Fax: 703-652-2513 | |
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Johnny K. Nam, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9561 Braddock Rd, Fairfax, VA 22032 Phone: 703-323-6500 | |
Lets Smile Ortho Fairfax Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4210 Fairfax Corner Ave W Ste 245, Fairfax, VA 22030 Phone: 818-533-8911 | |
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