SOUTH RIDING ORAL AND IMPLANT SURGERY

CHANTILLY, VA
NPI1285296814
Entity TypeOrganization
Authorized ContactKAMRAN RAJA
Owner
571-218-0878
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist Oral and Maxillofacial Surgery
Enumeration Date2019-07-03
Last Update Date2019-07-03
Business Address
SOUTH RIDING ORAL AND IMPLANT SURGERY
24805 PINEBROOK RD # 318
CHANTILLY, VA 20152-4126
Phone number: 571-218-0878
Mailing Address
SOUTH RIDING ORAL AND IMPLANT SURGERY
9209 MAROVELLI FOREST DR
LORTON, VA 22079-3456
Phone number: 571-218-0878
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