| Woodson Square Dental Care | |
|
9671 Main St Suite A Fairfax VA 22031-3742 | |
| (703) 323-0700 | |
| Not Available |
| Full Name | Woodson Square Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9671 Main St, Fairfax, Virginia |
| Authorized Official Name and Position | Nastaran Ejtemai (DENTIST/OWNER) |
| Authorized Official Contact | 7033230700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodson Square Dental Care 9671 Main St Suite A Fairfax VA 22031-3742 Ph: (703) 323-0700 | Woodson Square Dental Care 9671 Main St Suite A Fairfax VA 22031-3742 Ph: (703) 323-0700 |
| NPI Number | 1063754935 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063754935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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