Dulles Oral Surgical Center
Dulles Oral Surgical Center is a Clinic/Center in Chantilly, Virginia. Licensed in Virginia. Registered with an NPI since 2010.
- Licensed in
- VA
- In the registry since
- 2010
Practice location Address checks out
24805 Pinebrook Rd Ste 100Chantilly, VA 20152-4127
Phone: (703) 327-0955
Fax: (703) 327-0956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 0438000264 (VA) |
|---|
Record details
| NPI number | 1992011233 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edward Longwe — Director · (703) 327-0955 |
| NPI enumerated | August 24, 2010 |
| Last updated in NPPES | August 24, 2010 |
| Mailing address | 24805 Pinebrook Rd Ste 100, Chantilly, VA 20152-4127 |
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