| Chad Kasperowski, DMD, PLC | |
|
11200 Lee Hwy Fairfax VA 22030-5045 | |
| (703) 591-5637 | |
| (703) 591-7934 |
| Full Name | Chad Kasperowski, DMD, PLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11200 Lee Hwy, Fairfax, Virginia |
| Authorized Official Name and Position | Chad Alan Kasperowski (DENTIST) |
| Authorized Official Contact | 7035915637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Kasperowski, DMD, PLC 11200 Lee Hwy Fairfax VA 22030-5045 Ph: (703) 591-5637 | Chad Kasperowski, DMD, PLC 11200 Lee Hwy Fairfax VA 22030-5045 Ph: (703) 591-5637 |
| NPI Number | 1255634788 |
|---|---|
| Provider Enumeration Date | 12/06/2010 |
| Last Update Date | 12/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255634788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 411416 (Virginia) | Primary |
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