| Impression Dental, PC | |
|
6167 Fuller Ct Alexandria VA 22310-2541 | |
| (703) 822-0670 | |
| (703) 822-0650 |
| Full Name | Impression Dental, PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6167 Fuller Ct, Alexandria, Virginia |
| Authorized Official Name and Position | Steve Hoang Nguyen (DENTIST) |
| Authorized Official Contact | 7038220670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impression Dental, PC 6167 Fuller Ct Alexandria VA 22310-2541 Ph: (703) 822-0670 | Impression Dental, PC 6167 Fuller Ct Alexandria VA 22310-2541 Ph: (703) 822-0670 |
| NPI Number | 1972838027 |
|---|---|
| Provider Enumeration Date | 10/07/2009 |
| Last Update Date | 10/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972838027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401412610 (Virginia) | Primary |
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