| Roger Marcellin D.D.S. P.C. | |
|
12011 Lee Jackson Hwy Suite 503 Fairfax VA 22033-3310 | |
| (703) 293-9100 | |
| Not Available |
| Full Name | Roger Marcellin D.D.S. P.C. |
|---|---|
| Speciality | Dentist |
| Location | 12011 Lee Jackson Hwy, Fairfax, Virginia |
| Authorized Official Name and Position | Roger Louis Marcellin (PRESIDENT) |
| Authorized Official Contact | 7032939100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Marcellin D.D.S. P.C. 12011 Lee Jackson Hwy Suite 503 Fairfax VA 22033-3310 Ph: (703) 293-9100 | Roger Marcellin D.D.S. P.C. 12011 Lee Jackson Hwy Suite 503 Fairfax VA 22033-3310 Ph: (703) 293-9100 |
| NPI Number | 1700078912 |
|---|---|
| Provider Enumeration Date | 08/11/2007 |
| Last Update Date | 05/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700078912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5999 (Virginia) | Primary |
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