BOULEVARD DENTAL CLINIC is a dental clinic center in Fairfax, VA. BOULEVARD DENTAL CLINIC NPI is 1639346182. The provider is registered as an organization entity type.
The provider Other Name Is Dr Ricardo M Gaitan Dds/pc.
The provider's business location address is:
8301 ARLINGTON BLVD
SUITE #403
FAIRFAX, VA
ZIP 22031-902
Phone: (703) 206-0466
Fax: (703) 206-0479
The provider's authorized official is Ricardo Moises Gaitan .
The authorized official title is General Dentist and has the following contact phone number (703) 206-0466.
The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.