| Peony Dental | |
|
9378 Forestwood Ln Ste A Manassas VA 20110-4742 | |
| (703) 659-1111 | |
| Not Available |
| Full Name | Peony Dental |
|---|---|
| Speciality | Dentist |
| Location | 9378 Forestwood Ln Ste A, Manassas, Virginia |
| Authorized Official Name and Position | Eunice Song (PRESIDENT/DENTIST) |
| Authorized Official Contact | 7036591111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peony Dental 9378 Forestwood Ln Ste A Manassas VA 20110-4742 Ph: (703) 659-1111 | Peony Dental 9378 Forestwood Ln Ste A Manassas VA 20110-4742 Ph: (703) 659-1111 |
| NPI Number | 1508401753 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 11/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508401753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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