FAIR LAKES DENTAL

FAIRFAX, VA
NPI1548493885
Entity TypeOrganization
Authorized ContactJOSEPH DEHYAR
Owner
703-764-0650
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401411034)
Enumeration Date2009-09-03
Last Update Date2009-09-03
Business Address
FAIR LAKES DENTAL
12989 FAIR LAKES PKWY
FAIRFAX, VA 22033
Phone number: 703-222-1230
Mailing Address
FAIR LAKES DENTAL
9534 BURKE ROAD
BURKE, VA 22015
Phone number: 703-764-0650