| Greater Washington Oral and Maxillofacial Surgery | |
|
8707 Digges Rd Manassas VA 20110-4403 | |
| (703) 263-8640 | |
| Not Available |
| Full Name | Greater Washington Oral and Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8707 Digges Rd, Manassas, Virginia |
| Authorized Official Name and Position | Kristen Sohn (REGIONAL DIRECTOR) |
| Authorized Official Contact | 2028802275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Washington Oral and Maxillofacial Surgery 4210 Fairfax Corner Ave W Ste 215 Fairfax VA 22030-8627 | Greater Washington Oral and Maxillofacial Surgery 8707 Digges Rd Manassas VA 20110-4403 Ph: (703) 263-8640 |
| NPI Number | 1750072856 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750072856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (NU) | Primary |
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