WOODSON SQUARE DENTAL CARE NPI 1063754935

NPI Information

WOODSON SQUARE DENTAL CARE is a general practice dentist in Fairfax, VA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WOODSON SQUARE DENTAL CARE NPI is 1063754935. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9671 MAIN ST
SUITE A
FAIRFAX, VA
ZIP 22031-742
Phone: (703) 323-0700

The provider's authorized official is Nastaran Ejtemai .
The authorized official title is Dentist/owner and has the following contact phone number (703) 323-0700.

The enumeration date for this NPI number is 3/19/2013 and was last updated on 3/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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