| Chantilly Pediatric Dentistry | |
|
4229 Lafayette Center Dr Ste 1400 Chantilly VA 20151-1267 | |
| (703) 378-2000 | |
| Not Available |
| Full Name | Chantilly Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4229 Lafayette Center Dr Ste 1400, Chantilly, Virginia |
| Authorized Official Name and Position | Attn: Fernanda G Fontes (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7346455820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chantilly Pediatric Dentistry 4229 Lafayette Center Dr Ste 1400 Chantilly VA 20151-1267 Ph: (734) 645-5820 | Chantilly Pediatric Dentistry 4229 Lafayette Center Dr Ste 1400 Chantilly VA 20151-1267 Ph: (703) 378-2000 |
| NPI Number | 1154904837 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 04/30/2021 |
| Certification Date | 04/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154904837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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