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Prince William Health District Dental
Dental Clinic/Center in Manassas, Virginia
NPI 1124110085

Prince William Health District Dental is a Dental Clinic/Center based in Manassas, VA and is specialized in Dental. Prince William Health District Dental practices in Manassas, VA. The NPI Number for Prince William Health District Dental is 1124110085 and holds a License No. (Virginia).

The current practice location address for Prince William Health District Dental is 9301 Lee Ave, Manassas, VA and can be reached out via phone at 703-792-6300 and via fax at 703-792-6338.

Location: 9301 Lee Ave, Manassas, VA, 20110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124110085
Provider Name
Prince William Health District Dental
Credential
Provider Entity Type
Organization
Address
9301 Lee Ave, Manassas, VA, 20110
Phone Number
703-792-6300
Fax Number
703-792-6338
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13761 05 VA
institution
Provider Business Practice Location Address Details
Address
9301 Lee Ave
City
Manassas
State
Virginia
Zip
20110
Phone Number
703-792-6300
Fax Number
703-792-6338
person
Provider Business Mailing Address Details
Address
9301 Lee Ave
City
Manassas
State
Virginia
Zip
20110
Phone Number
703-792-6300
Fax Number
703-792-6338
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
(Virginia)
Definition
Definition to come...
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