Fairfaxdentalgroup
NPI #1073986568 in Fairfax, Virginia
Provider Information
- NPI Number
- 1073986568
- Entity Type
- Organization
- Organization Name
- Fairfaxdentalgroup
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- POTOMAC VALLEY DENTAL CARE PLLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 5, 2015
- Last Updated
- Nov 5, 2015
Practice Location
Authorized Official
- Name
- DR. MICHAEL GORMAN, DDS
- Title
- DENTIST/OWNER
- Phone
- (703) 830-9110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Richard F. Donohue, D.D.S. | |
| DR. Anh T Pham, D.D.S. | |
| DR. Glen R Miller, DDS | |
| DR. Robert Allen Levine, D.D.S. |
Organizations
| Provider Name | |
|---|---|
| Charles D, Kirksey, Dds, LLC |
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