Woodson Square Dental Care

NPI 1063754935 - Dentist - 1223G0001X

NPI Details
NPI 1063754935
Enumeration Date 03/19/2013
Last Updated 03/19/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name NASTARAN NASTARAN
Position DENTIST/OWNER
Phone (703) 323-0700
Fax
Practice Location
9671 MAIN ST
SUITE A
FAIRFAX VA, 22031-3742, US
Phone (703) 323-0700
Fax
Business Location
9671 MAIN ST
SUITE A
FAIRFAX VA, 22031-3742, US
Phone (703) 323-0700
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Woodson Square Dental Care NPI is 1063754935, taxonomy code is 1223G0001X Woodson Square Dental Care physically located at 9671 Main St, Fairfax VA, 22031-3742. NPI Number 1033115704 has the healthcare provider type.

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1063754935 NPI number is provided on an as is basis without warranty of any kind. 1063754935 is maintained by the National Plan & Provider Enumeration System. The contents of Woodson Square Dental Care are for informational purposes only.