Neibauer Dental Care, Pc

NPI 1023385648 - Dentist - 1223G0001X

NPI Details
NPI 1023385648
Enumeration Date 11/28/2011
Last Updated 11/28/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KIM KIM
Position CREDENTIALING COORD.
Phone (703) 580-5515
Fax (703) 583-1487
Practice Location
14901 POTOMAC TOWN PL
SUITE 175
WOODBRIDGE VA, 22191-4096, US
Phone (703) 580-5515
Fax (703) 583-1487
Business Location
14901 POTOMAC TOWN PL
SUITE 175
WOODBRIDGE VA, 22191-4096, US
Phone (703) 580-5515
Fax (703) 583-1487
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Neibauer Dental Care, Pc NPI is 1023385648, taxonomy code is 1223G0001X Neibauer Dental Care, Pc physically located at 14901 Potomac Town Pl, Woodbridge VA, 22191-4096. NPI Number 1033115704 has the healthcare provider type.

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1023385648 NPI number is provided on an as is basis without warranty of any kind. 1023385648 is maintained by the National Plan & Provider Enumeration System. The contents of Neibauer Dental Care, Pc are for informational purposes only.