Merrifield Pediatric Dentistry Pllc
NPI #1316430598 in Dunn Loring, Virginia
Provider Information
- NPI Number
- 1316430598
- Entity Type
- Organization
- Organization Name
- Merrifield Pediatric Dentistry Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 12, 2018
- Last Updated
- Jun 12, 2018
Practice Location
- Address
- 2301 GALLOWS RD STE 115
- City
- Dunn Loring
- State
- Virginia
- ZIP Code
- 22027-1149
- Phone
- (571) 293-1668
Authorized Official
- Name
- DR. MONAMIE GHATAK, DDS
- Title
- OWNER
- Phone
- (804) 306-4805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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