is a Dental in Fairfax, Virginia. practices all healthcare services and medical treatments related to Dental. The NPI Number for is 1285891911. The last update date is .
's current location address is 3930 Pender Dr, Fairfax, Virginia. You can contact this provider via phone number 7033599080. The mailing address for is 3930 Pender Dr, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3930 Pender Dr, Fairfax, Virginia |
| Phone Number | 7033599080 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1285891911 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3930 Pender Dr |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220300985 |
| Phone Number | 7033599080 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 401410407 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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