Innovation Dental Pllc

NPI #1295325991 in Bristow, Virginia

Provider Information

NPI Number
1295325991
Entity Type
Organization
Organization Name
Innovation Dental Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 26, 2021
Last Updated
Jan 26, 2021

Practice Location

Address
9070 DEVLIN RD
Address 2
STE 110
ZIP Code
20136
Phone
(703) 330-3933

Authorized Official

Name
BORARATH M YANN, D.D.S.
Title
OWNER/PRESIDENT
Phone
(703) 330-3933

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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