| J Christopher Durr LLC | |
|
4216 Evergreen Ln Suite 113 Annandale VA 22003-3243 | |
| (703) 941-7020 | |
| Not Available |
| Full Name | J Christopher Durr LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4216 Evergreen Ln, Annandale, Virginia |
| Authorized Official Name and Position | John Christopher Durr (MEMBER AND MANAGER) |
| Authorized Official Contact | 7039417020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Christopher Durr LLC 4216 Evergreen Ln Suite 113 Annandale VA 22003-3243 Ph: (703) 941-7020 | J Christopher Durr LLC 4216 Evergreen Ln Suite 113 Annandale VA 22003-3243 Ph: (703) 941-7020 |
| NPI Number | 1669802591 |
|---|---|
| Provider Enumeration Date | 11/13/2013 |
| Last Update Date | 11/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669802591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5391 (Virginia) | Primary |
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