Dale P Shewmaker DDS PC

NPI #1356714331 in Fairfax, Virginia

Provider Information

NPI Number: 1356714331
Entity Type: Organization
Organization Name: Dale P Shewmaker DDS PC
Subpart: Yes (part of a larger organization)
Parent Organization: POTOMAC VALLEY DENTAL CARE, PLLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 12, 2015
Last Updated: Nov 12, 2015

Practice Location

Address: 10623 BRADDOCK RD
City: Fairfax
State: Virginia
ZIP Code: 22032-2202
Phone: (703) 385-6960

Authorized Official

Name: DR. DALE P SHEWMAKER, DDS
Title: DENTIST/OWNER
Phone: (703) 385-6960

Specialties & Taxonomy Codes

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

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