Jack C Phass Jr DDS INC
NPI #1295928208 in Falls Church, Virginia
Provider Information
- NPI Number
- 1295928208
- Entity Type
- Organization
- Organization Name
- Jack C Phass Jr DDS INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JACK C PHASS JR DDS INC
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 22, 2007
- Last Updated
- Aug 22, 2007
Practice Location
- Address
- 5205 LEESBURG PIKE
- Address 2
- SUITE 101
- City
- Falls Church
- State
- Virginia
- ZIP Code
- 22041-3802
- Phone
- (703) 824-0055
Authorized Official
- Name
- DR. DEAN J PHASS, DDS
- Title
- PRESIDENT
- Phone
- (703) 824-0055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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