DEEP ROOTS PERIODONTICS PLLC is a periodontics dentist in Fairfax, VA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DEEP ROOTS PERIODONTICS PLLC NPI is 1255695243. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
11130 FAIRFAX BLVD
SUITE 100
FAIRFAX, VA
ZIP 22030-035
Phone: (954) 536-1111
The provider's authorized official is Taeheon Kang .
The authorized official title is Periodontis and has the following contact phone number (954) 536-1111.
The enumeration date for this NPI number is 6/25/2012 and was last updated on 6/25/2012.