| Simple Dental Pllc | |
|
5005 Westone Plz Ste C Chantilly VA 20151-4207 | |
| (703) 552-8700 | |
| Not Available |
| Full Name | Simple Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 5005 Westone Plz Ste C, Chantilly, Virginia |
| Authorized Official Name and Position | Jessica Yoo (OWNER DENTIST) |
| Authorized Official Contact | 7035528700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simple Dental Pllc 5005 Westone Plz Ste C Chantilly VA 20151-4207 Ph: (703) 552-8700 | Simple Dental Pllc 5005 Westone Plz Ste C Chantilly VA 20151-4207 Ph: (703) 552-8700 |
| NPI Number | 1245015999 |
|---|---|
| Provider Enumeration Date | 08/30/2023 |
| Last Update Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245015999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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