Neibauer Dental Care, PC
NPI #1023385648 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1023385648
- Entity Type
- Organization
- Organization Name
- Neibauer Dental Care, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NEIBAUER DENTAL CARE, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 28, 2011
- Last Updated
- Nov 28, 2011
Practice Location
- Address
- 14901 POTOMAC TOWN PL
- Address 2
- SUITE 175
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22191-4096
- Phone
- (703) 580-5515
Authorized Official
- Name
- KIM WILSON
- Title
- CREDENTIALING COORD.
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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