| Aquia Dental Care | |
|
2712 Jefferson Davis Hwy Suite 201 Stafford VA 22554-1733 | |
| (540) 720-8630 | |
| (540) 720-8632 |
| Full Name | Aquia Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2712 Jefferson Davis Hwy, Stafford, Virginia |
| Authorized Official Name and Position | Aicha Lyazidi (OWNER) |
| Authorized Official Contact | 5407208630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aquia Dental Care 2712 Jefferson Davis Hwy Suite 201 Stafford VA 22554-1733 Ph: (540) 720-8630 | Aquia Dental Care 2712 Jefferson Davis Hwy Suite 201 Stafford VA 22554-1733 Ph: (540) 720-8630 |
| NPI Number | 1386892313 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 09/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386892313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401410695 (Virginia) | Primary |
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