| Fairfax Dental Esthetics | |
|
2553 Chain Bridge Rd Vienna VA 22181-5517 | |
| (703) 938-0212 | |
| Not Available |
| Full Name | Fairfax Dental Esthetics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2553 Chain Bridge Rd, Vienna, Virginia |
| Authorized Official Name and Position | David Rowe (INTEGRATION SPECIALIST) |
| Authorized Official Contact | 6102432018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfax Dental Esthetics 2553 Chain Bridge Road Attn: Michelle Ryan Vienna VA 22181 Ph: (703) 938-0212 | Fairfax Dental Esthetics 2553 Chain Bridge Rd Vienna VA 22181-5517 Ph: (703) 938-0212 |
| NPI Number | 1871139519 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 11/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871139519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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