| Jonathon Konz Dds Pllc | |
|
42395 Ryan Rd Ste 104 Ashburn VA 20148-4864 | |
| (703) 542-7000 | |
| (703) 542-6900 |
| Full Name | Jonathon Konz Dds Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 42395 Ryan Rd Ste 104, Ashburn, Virginia |
| Authorized Official Name and Position | Jonathon Konz (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Contact | 7035427000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathon Konz Dds Pllc 42395 Ryan Rd Ste 104 Ashburn VA 20148-4864 Ph: (703) 542-7000 | Jonathon Konz Dds Pllc 42395 Ryan Rd Ste 104 Ashburn VA 20148-4864 Ph: (703) 542-7000 |
| NPI Number | 1831603935 |
|---|---|
| Provider Enumeration Date | 11/28/2017 |
| Last Update Date | 11/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831603935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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