| Prince William Family Dental | |
|
4391 Ridgewood Center Dr Unit 1c Woodbridge VA 22192-5399 | |
| (703) 382-6545 | |
| (703) 382-6548 |
| Full Name | Prince William Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4391 Ridgewood Center Dr Unit 1c, Woodbridge, Virginia |
| Authorized Official Name and Position | Daniel Dafo (OWNER) |
| Authorized Official Contact | 7033826545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prince William Family Dental 6534 Milva Ln Springfield VA 22150-4268 Ph: (304) 210-6044 | Prince William Family Dental 4391 Ridgewood Center Dr Unit 1c Woodbridge VA 22192-5399 Ph: (703) 382-6545 |
| NPI Number | 1104332295 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 12/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104332295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401413934 (Virginia) | Primary |
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