Addax Dental Pllc

NPI 1154692408 - Dentist - 1223G0001X

NPI Details
NPI 1154692408
Enumeration Date 01/18/2012
Last Updated 01/18/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MICHAEL MICHAEL
Position MANAGING CLINICAL DIRECTOR
Phone (703) 777-5939
Fax
Practice Location
546 E MARKET ST
LEESBURG VA, 20176-4112, US
Phone (703) 777-5939
Fax
Business Location
546 E MARKET ST
LEESBURG VA, 20176-4112, US
Phone (703) 777-5939
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 0401413091
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According to our database, Addax Dental Pllc NPI is 1154692408, taxonomy code is 1223G0001X and license number is 0401413091, license state is located at Virginia. Addax Dental Pllc physically located at 546 E Market St, Leesburg VA, 20176-4112. NPI Number 1033115704 has the healthcare provider type.

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1154692408 NPI number is provided on an as is basis without warranty of any kind. 1154692408 is maintained by the National Plan & Provider Enumeration System. The contents of Addax Dental Pllc are for informational purposes only.