| Woodbridge Oral & Maxillofacial Surgery Center | |
|
4585 Daisy Reid Ave Ste 105 Woodbridge VA 22192-7802 | |
| (703) 670-6886 | |
| (703) 670-3108 |
| Full Name | Woodbridge Oral & Maxillofacial Surgery Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4585 Daisy Reid Ave Ste 105, Woodbridge, Virginia |
| Authorized Official Name and Position | Phuong Ngoc Nguyen (PRESIDENT) |
| Authorized Official Contact | 7142351324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodbridge Oral & Maxillofacial Surgery Center 4585 Daisy Reid Ave Ste 105 Woodbridge VA 22192-7802 Ph: (703) 670-6886 | Woodbridge Oral & Maxillofacial Surgery Center 4585 Daisy Reid Ave Ste 105 Woodbridge VA 22192-7802 Ph: (703) 670-6886 |
| NPI Number | 1093087488 |
|---|---|
| Provider Enumeration Date | 02/01/2012 |
| Last Update Date | 02/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093087488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Michael Morch D.d.s. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3138 Golansky Blvd, Suite 101, Woodbridge, VA 22192 Phone: 703-878-7969 Fax: 703-730-9907 | |
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