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1194815399
STEPHEN P FASSNACHT
FAIRFAX, VA
NPI
1194815399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 5338)
Enumeration Date
2006-10-16
Last Update Date
2020-02-07
Business Address
Dr. STEPHEN P FASSNACHT DDS
8500 EXECUTIVE PARK AVE STE 208
FAIRFAX, VA 22031-2253
Phone number: 703-400-3675
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Mailing Address
Dr. STEPHEN P FASSNACHT DDS
10236 FAIRE COMMONS CT
BURKE, VA 22015-2857
Phone number: 703-400-3675
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