| Dental Services DDS, PC | |
|
3918 Prosperity Ave Ste 203 Fairfax VA 22031-3333 | |
| (703) 280-1300 | |
| Not Available |
| Full Name | Dental Services DDS, PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3918 Prosperity Ave Ste 203, Fairfax, Virginia |
| Authorized Official Name and Position | Gloria Maria Campos Vasquez (OWNER) |
| Authorized Official Contact | 7032801300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Services DDS, PC 3918 Prosperity Ave Ste 203 Fairfax VA 22031-3333 Ph: (703) 280-1300 | Dental Services DDS, PC 3918 Prosperity Ave Ste 203 Fairfax VA 22031-3333 Ph: (703) 280-1300 |
| NPI Number | 1649940040 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 09/16/2021 |
| Certification Date | 09/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649940040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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