| Dental One Associates South Riding Pc | |
|
25055 Riding Plz 270 Chantilly VA 20152-5917 | |
| (703) 491-4489 | |
| Not Available |
| Full Name | Dental One Associates South Riding Pc |
|---|---|
| Speciality | Dentist |
| Location | 25055 Riding Plz, Chantilly, Virginia |
| Authorized Official Name and Position | Mike Cole (INSURANCE DIRECTOR) |
| Authorized Official Contact | 7277261611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental One Associates South Riding Pc 25055 Riding Plz 270 Chantilly VA 20152-5917 Ph: () - | Dental One Associates South Riding Pc 25055 Riding Plz 270 Chantilly VA 20152-5917 Ph: (703) 491-4489 |
| NPI Number | 1265695712 |
|---|---|
| Provider Enumeration Date | 07/04/2008 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265695712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Virginia) | Primary |
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