Boulevard Dental Clinic
Boulevard Dental Clinic is a Dental Clinic/Center in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2008.
- Licensed in
- VA
- In the registry since
- 2008
Practice location Address checks out
8301 Arlington Blvd Ste #403Fairfax, VA 22031-2902
Phone: (703) 206-0466
Fax: (703) 206-0479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 0401008771 (VA) |
|---|
Record details
| NPI number | 1639346182 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ricardo Gaitan — General Dentist · (703) 206-0466 |
| Other names | Dr Ricardo M Gaitan Dds/Pc |
| NPI enumerated | May 14, 2008 |
| Last updated in NPPES | May 14, 2008 |
| Mailing address | 8301 Arlington Blvd, Suite #403, Fairfax, VA 22031-2902 |
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