J. Brian Queen, Dds, PC

NPI #1174508196 in Herndon, Virginia

Provider Information

NPI Number: 1174508196
Entity Type: Organization
Organization Name: J. Brian Queen, Dds, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 13, 2005
Last Updated: Feb 6, 2014

Practice Location

Address: 102 ELDEN ST
Address 2: SUITE 20
City: Herndon
State: Virginia
ZIP Code: 20170-4868
Phone: (703) 689-2480

Authorized Official

Name: DR. J. BRIAN QUEEN, DDS
Title: OWNER/DENTIST
Phone: (703) 689-2480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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