institution
Pediatric And Adolescent Dentistry Pc
Pediatric Dentist in Alexandria, Virginia
NPI 1558639906

Pediatric And Adolescent Dentistry Pc is a Pediatric Dentist based in Alexandria, VA and is specialized in Pediatric Dentistry. Pediatric And Adolescent Dentistry Pc practices in Alexandria, VA. The NPI Number for Pediatric And Adolescent Dentistry Pc is 1558639906 and holds a License No. 0401008254 (Virginia).

The current practice location address for Pediatric And Adolescent Dentistry Pc is 4605D Pinecrest Office Park Dr, Alexandria, VA and can be reached out via phone at 703-352-4121.

Location: 4605D Pinecrest Office Park Dr, Alexandria, VA, 22312-1442
institution
Provider Profile Details
NPI Number
1558639906
Provider Name
Pediatric And Adolescent Dentistry Pc
Credential
Provider Entity Type
Organization
Address
4605D Pinecrest Office Park Dr, Alexandria, VA, 22312-1442
Phone Number
703-352-4121
Fax Number
Provider Enumeration Date
12/13/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1821308115 05 VA
1548359649 05 VA
institution
Provider Business Practice Location Address Details
Address
4605D Pinecrest Office Park Dr
City
State
Zip
22312-1442
Phone Number
703-352-4121
Fax Number
person
Provider Business Mailing Address Details
Address
4605D Pinecrest Office Park Dr
City
State
Zip
22312-1442
Phone Number
703-352-4121
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
0401008254 (Virginia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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