| Lumiere Dental Pllc | |
|
9524b Route 29 Fairfax VA 22031-2303 | |
| (773) 512-1811 | |
| (703) 828-8778 |
| Full Name | Lumiere Dental Pllc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 9524b Route 29, Fairfax, Virginia |
| Authorized Official Name and Position | Zukaey Allababidi (PRESIDENT) |
| Authorized Official Contact | 7735121811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumiere Dental Pllc 9524b Route 29 Fairfax VA 22031-2303 Ph: (773) 512-1811 | Lumiere Dental Pllc 9524b Route 29 Fairfax VA 22031-2303 Ph: (773) 512-1811 |
| NPI Number | 1780481291 |
|---|---|
| Provider Enumeration Date | 03/03/2025 |
| Last Update Date | 03/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780481291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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