Centreville Children's Dentistry, Pc | |
14245m Centreville Sq Centreville VA 20121-2368 | |
(703) 715-9555 | |
Not Available |
Full Name | Centreville Children's Dentistry, Pc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 14245m Centreville Sq, Centreville, Virginia |
Authorized Official Name and Position | Ruksana Talaksi (DENTIST/OWNER) |
Authorized Official Contact | 7037159555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Centreville Children's Dentistry, Pc 14245m Centreville Sq Centreville VA 20121-2368 Ph: (703) 715-9555 | Centreville Children's Dentistry, Pc 14245m Centreville Sq Centreville VA 20121-2368 Ph: (703) 715-9555 |
NPI Number | 1144406901 |
---|---|
Provider Enumeration Date | 01/11/2008 |
Last Update Date | 01/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144406901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (Virginia) | Primary |
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