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Keith J Wilson Dds Pc
General Practice Dentistry in Fairfax, Virginia
NPI 1154447589

Keith J Wilson Dds Pc is a General Practice Dentistry based in Fairfax, VA and is specialized in General Practice. Keith J Wilson Dds Pc practices in Fairfax, VA. The NPI Number for Keith J Wilson Dds Pc is 1154447589 and holds a License No. 0401008681 (Virginia).

The current practice location address for Keith J Wilson Dds Pc is 11166 Fairfax Blvd Ste 400, Fairfax, VA and can be reached out via phone at 703-691-3015 and via fax at 703-691-3016.

Location: 11166 Fairfax Blvd Ste 400, Fairfax, VA, 22030-5017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154447589
Provider Name
Keith J Wilson Dds Pc
Credential
Provider Entity Type
Organization
Address
11166 Fairfax Blvd Ste 400, Fairfax, VA, 22030-5017
Phone Number
703-691-3015
Fax Number
703-691-3016
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11166 Fairfax Blvd Ste 400
City
Fairfax
State
Virginia
Zip
22030-5017
Phone Number
703-691-3015
Fax Number
703-691-3016
person
Provider Business Mailing Address Details
Address
11166 Fairfax Blvd Ste 400
City
Fairfax
State
Virginia
Zip
22030-5017
Phone Number
703-691-3015
Fax Number
703-691-3016
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401008681 (Virginia)
Definition
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.
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