Greater Prince William Community Health Center Dental Clinic | |
4379 Ridgewood Center Dr Suite 102 Woodbridge VA 22192-8322 | |
(703) 680-7950 | |
(703) 680-7953 |
Full Name | Greater Prince William Community Health Center Dental Clinic |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 4379 Ridgewood Center Dr, Woodbridge, Virginia |
Authorized Official Name and Position | Frank Principi (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7036807950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Greater Prince William Community Health Center Dental Clinic Po Box 6966 Richmond VA 23230-0966 Ph: (804) 237-7690 | Greater Prince William Community Health Center Dental Clinic 4379 Ridgewood Center Dr Suite 102 Woodbridge VA 22192-8322 Ph: (703) 680-7950 |
NPI Number | 1942527874 |
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Provider Enumeration Date | 05/03/2010 |
Last Update Date | 07/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942527874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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