| Northern Virginia Endodontic Associates, Pllc | |
|
3833 Fairfax Dr Suite 440 Arlington VA 22203-1772 | |
| (267) 252-0125 | |
| Not Available |
| Full Name | Northern Virginia Endodontic Associates, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3833 Fairfax Dr, Arlington, Virginia |
| Authorized Official Name and Position | Robert A Cheron (MANAGING MEMBER) |
| Authorized Official Contact | 2672520125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Virginia Endodontic Associates, Pllc 1105 Russell Rd Alexandria VA 22301-2436 Ph: (267) 252-0125 | Northern Virginia Endodontic Associates, Pllc 3833 Fairfax Dr Suite 440 Arlington VA 22203-1772 Ph: (267) 252-0125 |
| NPI Number | 1639460504 |
|---|---|
| Provider Enumeration Date | 04/27/2011 |
| Last Update Date | 04/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639460504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 0401412778 (Virginia) | Primary |
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