Evelyn T Samuel Dmd PC

NPI #1144769639 in Fairfax, Virginia

Provider Information

NPI Number: 1144769639
Entity Type: Organization
Organization Name: Evelyn T Samuel Dmd PC
Primary Specialty: Dentist
Enumeration Date: Feb 16, 2017
Last Updated: Feb 16, 2017

Practice Location

Address: 8301 ARLINGTON BLVD
Address 2: STE. 207
City: Fairfax
State: Virginia
ZIP Code: 22031-2902
Phone: (571) 297-4302

Authorized Official

Name: DR. EVELYN SAMUEL, DMD
Title: DENTIST
Phone: (571) 297-4302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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