| NPI | 1710477815 |
|---|---|
| Doing Business As | FAMILY DENTAL OF FAIRFAX CITY |
| Entity Type | Organization |
| Authorized Contact | PATRICIA DARY Owner 571-426-4579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401414585) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |