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Island Childrens Dentistry Pllc
Pediatric Dentist in Vienna, Virginia
NPI 1962071019

Island Childrens Dentistry Pllc is a Pediatric Dentist based in Vienna, VA and is specialized in Pediatric Dentistry. Island Childrens Dentistry Pllc practices in Vienna, VA. The NPI Number for Island Childrens Dentistry Pllc is 1962071019 and holds a License No. (Virginia).

The current practice location address for Island Childrens Dentistry Pllc is 1500 Cornerside Blvd Ste 310, Vienna, VA and can be reached out via phone at 703-790-1320 and via fax at 703-790-0455.

Location: 1500 Cornerside Blvd Ste 310, Vienna, VA, 22182-2438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962071019
Provider Name
Island Childrens Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
1500 Cornerside Blvd Ste 310, Vienna, VA, 22182-2438
Phone Number
703-790-1320
Fax Number
703-790-0455
Provider Enumeration Date
06/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 Cornerside Blvd Ste 310
City
Vienna
State
Virginia
Zip
22182-2438
Phone Number
703-790-1320
Fax Number
703-790-0455
person
Provider Business Mailing Address Details
Address
1500 Cornerside Blvd Ste 310
City
Vienna
State
Virginia
Zip
22182-2438
Phone Number
703-790-1320
Fax Number
703-790-0455
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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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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