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1902360068
FAIRFAX ADVANCED DENTISTRY, P.C.
FAIRFAX, VA
NPI
1902360068
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Entity Type
Organization
Authorized Contact
ALEX OSINOVSKY
Owner
703-861-8777
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2019-01-23
Last Update Date
2019-01-23
Business Address
FAIRFAX ADVANCED DENTISTRY, P.C.
3930 PENDER DR STE 150
FAIRFAX, VA 22030-0986
Phone number: 703-650-9299
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Mailing Address
FAIRFAX ADVANCED DENTISTRY, P.C.
3930 PENDER DR STE 150
FAIRFAX, VA 22030-0986
Phone number: 703-650-9299
Copy
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