| Merrifield Pediatric Dentistry Pllc | |
|
2301 Gallows Rd Ste 115 Dunn Loring VA 22027-1149 | |
| (571) 293-1668 | |
| Not Available |
| Full Name | Merrifield Pediatric Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2301 Gallows Rd Ste 115, Dunn Loring, Virginia |
| Authorized Official Name and Position | Monamie Ghatak (OWNER) |
| Authorized Official Contact | 8043064805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrifield Pediatric Dentistry Pllc 2722 Manhattan Pl Vienna VA 22180-7343 Ph: (804) 306-4805 | Merrifield Pediatric Dentistry Pllc 2301 Gallows Rd Ste 115 Dunn Loring VA 22027-1149 Ph: (571) 293-1668 |
| NPI Number | 1316430598 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 06/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316430598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401411100 (Virginia) | Primary |
Jonathan Chang Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 Gallows Rd Ste 215, Dunn Loring, VA 22027 Phone: 703-560-6500 Fax: 703-560-6502 | |
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