| Dental Center Of Herndon | |
|
1110 Elden St. Suite E108 Herndon VA 20170 | |
| (703) 318-7200 | |
| (703) 318-8668 |
| Full Name | Dental Center Of Herndon |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1110 Elden St., Herndon, Virginia |
| Authorized Official Name and Position | Kenneth Qiu (DENTIST/PRESIDENT) |
| Authorized Official Contact | 7033187200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Center Of Herndon 1110 Elden St. Suite E108 Herndon VA 20170 Ph: (703) 318-7200 | Dental Center Of Herndon 1110 Elden St. Suite E108 Herndon VA 20170 Ph: (703) 318-7200 |
| NPI Number | 1457608986 |
|---|---|
| Provider Enumeration Date | 08/15/2012 |
| Last Update Date | 08/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457608986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 401102428 (Virginia) | Primary |
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