FAIRFAXDENTALGROUP

FAIRFAX, VA
NPI1073986568
Entity TypeOrganization
Authorized ContactMICHAEL GORMAN
Dentist/Owner
703-830-9110
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2015-11-05
Last Update Date2015-11-05
Business Address
FAIRFAXDENTALGROUP
8316 ARLINGTON BLVD
FAIRFAX, VA 22031-5207
Phone number: 703-560-6301
Mailing Address
FAIRFAXDENTALGROUP
8316 ARLINGTON BLVD
FAIRFAX, VA 22031-5207
Phone number: 703-560-6301
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