BOULEVARD DENTAL CLINIC

FAIRFAX, VA
NPI1639346182
Other NameDR RICARDO M GAITAN DDS/PC
Entity TypeOrganization
Authorized ContactRICARDO MOISES GAITAN
General Dentist
703-206-0466
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: VA  0401008771)
Enumeration Date2008-05-14
Last Update Date2008-05-14
Business Address
BOULEVARD DENTAL CLINIC
8301 ARLINGTON BLVD SUITE #403
FAIRFAX, VA 22031-2902
Phone number: 703-206-0466
Mailing Address
BOULEVARD DENTAL CLINIC
8301 ARLINGTON BLVD SUITE #403
FAIRFAX, VA 22031-2902
Phone number: 703-206-0466