Wellington Dental Associates | |
10068 Dumfries Rd Manassas VA 20110-7949 | |
(703) 330-0430 | |
(703) 330-0464 |
Full Name | Wellington Dental Associates |
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Speciality | Dentist |
Location | 10068 Dumfries Rd, Manassas, Virginia |
Authorized Official Name and Position | Borarath M Yann (OWNER/PRESIDENT) |
Authorized Official Contact | 7033300430 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wellington Dental Associates 10068 Dumfries Rd Manassas VA 20110-7949 Ph: (703) 330-0430 | Wellington Dental Associates 10068 Dumfries Rd Manassas VA 20110-7949 Ph: (703) 330-0430 |
NPI Number | 1083887194 |
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Provider Enumeration Date | 04/09/2008 |
Last Update Date | 04/09/2008 |
Identifier | Type | State | Issuer |
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1083887194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 10448 (Virginia) | Primary |
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