| Dental Associates | |
|
12011 Lee Jackson Hwy Suite 105 Fairfax VA 22033-3310 | |
| (703) 273-5354 | |
| (703) 273-8149 |
| Full Name | Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12011 Lee Jackson Hwy, Fairfax, Virginia |
| Authorized Official Name and Position | Stan Kinder (REGIONAL VICE PRESIDENT) |
| Authorized Official Contact | 7032981690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Associates 12701 Fair Lakes Cir Suite 500 Fairfax VA 22033-4910 Ph: (703) 269-3150 | Dental Associates 12011 Lee Jackson Hwy Suite 105 Fairfax VA 22033-3310 Ph: (703) 273-5354 |
| NPI Number | 1003197955 |
|---|---|
| Provider Enumeration Date | 09/06/2011 |
| Last Update Date | 09/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003197955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 401005817 (Virginia) | Primary |
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