| Pediatric Dental Care | |
|
6120 Brandon Ave Ste 114 Springfield VA 22150-2504 | |
| (703) 992-7100 | |
| (703) 992-7137 |
| Full Name | Pediatric Dental Care |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6120 Brandon Ave Ste 114, Springfield, Virginia |
| Authorized Official Name and Position | John Han (PRESIDENT) |
| Authorized Official Contact | 7039925842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Care 6120 Brandon Ave Ste 114 Springfield VA 22150-2504 Ph: (703) 992-7100 | Pediatric Dental Care 6120 Brandon Ave Ste 114 Springfield VA 22150-2504 Ph: (703) 992-7100 |
| NPI Number | 1265858021 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 03/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265858021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0401410533 (Virginia) | Primary |
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