Maria Gema Island in Vienna - Pediatric Dentistry
Maria Gema Island - NPI 1386724409
Maria Gema Island is a Pediatric Dentistry in Vienna, Virginia. Maria Gema Island practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Maria Gema Island is 1386724409. The last update date is 2014-01-24.
Maria Gema Island's current location address is 1500 Cornerside Blvd, Vienna, Virginia. You can contact this provider via phone number 7039701320 and fax number 7037900455. The mailing address for Maria Gema Island is 1500 Cornerside Blvd, Vienna, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria Gema Island |
|---|---|
| Address | 1500 Cornerside Blvd, Vienna, Virginia |
| Phone Number | 7039701320 |
| Fax Number | 7037900455 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1386724409 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2014-01-24 |
Provider Mailing Address Detail
| Address | 1500 Cornerside Blvd |
|---|---|
| City | Vienna |
| State | Virginia (VA) |
| Post Code | 221822433 |
| Phone Number | 7039701320 |
| Fax Number | 7037900455 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 445000011 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Could you provide the complete address where Maria Gema Island is physically located?
The Maria Gema Island is situated at the following address: 1500 Cornerside Blvd, Vienna, VA 221822433.
Could you please share the complete physical location address where Maria Gema Island's facilities are situated?
The facilities of Maria Gema Island are physically located at the following address: 1500 Cornerside Blvd, Vienna, VA, 221822433.
What is Maria Gema Island's specialized field of practice, and what is the corresponding taxonomy classification code?
The Maria Gema Island's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date was the 1386724409 assigned to Maria Gema Island?
The Maria Gema Island was issued its 1386724409 on 2006-10-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Maria Gema Island receive the assignment of its 1386724409 from the Centers for Medicare & Medicaid Services?
The Maria Gema Island was issued its 1386724409 by the Centers for Medicare & Medicaid Services on 2006-10-16.