Chad Kasperowski, Dmd, Plc

NPI #1255634788 in Fairfax, Virginia

Provider Information

NPI Number: 1255634788
Entity Type: Organization
Organization Name: Chad Kasperowski, Dmd, Plc
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 6, 2010
Last Updated: Dec 6, 2010

Practice Location

Address: 11200 LEE HWY
City: Fairfax
State: Virginia
ZIP Code: 22030-5045
Phone: (703) 591-5637

Authorized Official

Name: DR. CHAD ALAN KASPEROWSKI, D.M.D.
Title: DENTIST
Phone: (703) 591-5637

Specialties & Taxonomy Codes

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

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