| Neibauer Dental Care - Farifaz | |
|
9547a Fairfax Blvd Fairfax VA 22031-4740 | |
| (703) 359-2879 | |
| (703) 359-2983 |
| Full Name | Neibauer Dental Care - Farifaz |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9547a Fairfax Blvd, Fairfax, Virginia |
| Authorized Official Name and Position | Kam Shick (INSURANCE COORDINATOR) |
| Authorized Official Contact | 2175405141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neibauer Dental Care - Farifaz 9547a Fairfax Blvd Fairfax VA 22031-4740 Ph: (703) 359-2879 | Neibauer Dental Care - Farifaz 9547a Fairfax Blvd Fairfax VA 22031-4740 Ph: (703) 359-2879 |
| NPI Number | 1093082620 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 11/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093082620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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