| Prime Family Dentistry, Pllc | |
|
24805 Pinebrook Rd # 316 Chantilly VA 20152-4126 | |
| (703) 403-1304 | |
| Not Available |
| Full Name | Prime Family Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 24805 Pinebrook Rd # 316, Chantilly, Virginia |
| Authorized Official Name and Position | Subha C Yerabollu (DENTIST) |
| Authorized Official Contact | 7034031304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Family Dentistry, Pllc 22917 Emerald Chase Pl Ashburn VA 20148-6446 Ph: () - | Prime Family Dentistry, Pllc 24805 Pinebrook Rd # 316 Chantilly VA 20152-4126 Ph: (703) 403-1304 |
| NPI Number | 1255832234 |
|---|---|
| Provider Enumeration Date | 02/23/2018 |
| Last Update Date | 02/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255832234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dr. Tarek Ashmawy Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5136 Leesburg Pike, Chantilly, VA 22302 Phone: 646-250-6333 | |
Chantilly Modern Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 Phone: 703-214-2113 | |
Claudio Urquiaga Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13948 Lee Jackson Memorial Hwy, Chantilly, VA 20151 Phone: 703-378-5010 | |
Mark A Grimes Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4437 Brookfield Corporate Drive, #107, Chantilly, VA 20151 Phone: 703-222-5400 Fax: 703-222-0470 | |
Diem H. Nguyen, D.d.s, P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3901 Centerview Dr, Suite #t, Chantilly, VA 20151 Phone: 703-467-0214 Fax: 703-467-0568 | |
Noor Smiles Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3914 Centreville Rd Ste 330, Chantilly, VA 20151 Phone: 571-723-4545 | |
Diamond Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13948 Lee Jackson Memorial Hwy, Chantilly, VA 20151 Phone: 703-773-1212 Fax: 703-773-1214 |