Fairfax Oral And Maxillofacial Surgery Pc

NPI 1710907134 - Dentist - 1223S0112X

NPI Details
NPI 1710907134
Enumeration Date 07/20/2006
Last Updated 04/27/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JULIA M JULIA
Position ADMINISTRATOR
Phone (703) 385-5777
Fax (703) 591-5386
Practice Location
10530 ROSEHAVEN ST
SUITE 111
FAIRFAX VA, 22030-2840, US
Phone (703) 385-5777
Fax (703) 591-5386
Business Location
10530 ROSEHAVEN ST
SUITE 111
FAIRFAX VA, 22030-2840, US
Phone (703) 385-5777
Fax (703) 591-5386
Toxanomy
Taxonomy Code 1223S0112X
License State
License Number
Remove 1710907134 NPI Number
 

According to our database, Fairfax Oral And Maxillofacial Surgery Pc NPI is 1710907134, taxonomy code is 1223S0112X Fairfax Oral And Maxillofacial Surgery Pc physically located at 10530 Rosehaven St, Fairfax VA, 22030-2840. NPI Number 1033115704 has the healthcare provider type.

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1710907134 NPI number is provided on an as is basis without warranty of any kind. 1710907134 is maintained by the National Plan & Provider Enumeration System. The contents of Fairfax Oral And Maxillofacial Surgery Pc are for informational purposes only.