BEV FONTAINE LLC

CHEVY CHASE, MD
NPI1043859630
Entity TypeOrganization
Authorized ContactHOSSIEN TALEBIAN
Billing Manager
703-955-4923
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2019-12-30
Last Update Date2023-03-07
Business Address
BEV FONTAINE LLC
5550 FRIENDSHIP BLVD STE 360
CHEVY CHASE, MD 20815-7256
Phone number: 240-341-1290
Mailing Address
BEV FONTAINE LLC
1410 POWELLS TAVERN PL
HERNDON, VA 20170-5712
Phone number: 703-955-4923
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