Pediatric Dentistry Of Burke Pc

NPI 1235576745 - Dentist - 1223P0221X

NPI Details
NPI 1235576745
Enumeration Date 05/24/2013
Last Updated 05/24/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DAVID M DAVID
Position OWNER
Phone (703) 868-9052
Fax
Practice Location
5284 LYNGATE COURT
BURKE VA, 22015, US
Phone (703) 868-9052
Fax
Business Location
5284 LYNGATE COURT
BURKE VA, 22015, US
Phone (703) 868-9052
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Virginia
License Number 0401413530
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According to our database, Pediatric Dentistry Of Burke Pc NPI is 1235576745, taxonomy code is 1223P0221X and license number is 0401413530, license state is located at Virginia. Pediatric Dentistry Of Burke Pc physically located at 5284 Lyngate Court, Burke VA, 22015. NPI Number 1033115704 has the healthcare provider type.

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1235576745 NPI number is provided on an as is basis without warranty of any kind. 1235576745 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Dentistry Of Burke Pc are for informational purposes only.