| Woodbridge Family Dental | |
|
13601 Office Pl Suite 202 Woodbridge VA 22192-4213 | |
| (703) 986-0434 | |
| Not Available |
| Full Name | Woodbridge Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13601 Office Pl, Woodbridge, Virginia |
| Authorized Official Name and Position | Hassanoor Abdirahman (PRESIDENT) |
| Authorized Official Contact | 7039860434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodbridge Family Dental 13601 Office Pl Suite 202 Woodbridge VA 22192-4213 Ph: (703) 986-0434 | Woodbridge Family Dental 13601 Office Pl Suite 202 Woodbridge VA 22192-4213 Ph: (703) 986-0434 |
| NPI Number | 1114296944 |
|---|---|
| Provider Enumeration Date | 12/22/2011 |
| Last Update Date | 12/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114296944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401412394 (Virginia) | Primary |
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