Neibauer Dental Care, PC

NPI #1417224056 in Chantilly, Virginia

Provider Information

NPI Number: 1417224056
Entity Type: Organization
Organization Name: Neibauer Dental Care, PC
Subpart: Yes (part of a larger organization)
Parent Organization: NEIBAUER DENTAL CARE, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 28, 2011
Last Updated: Nov 28, 2011

Practice Location

Address: 25401 EASTERN MARKETPLACE PLZ STE 165
City: Chantilly
State: Virginia
ZIP Code: 20152-5783
Phone: (703) 542-3171

Authorized Official

Name: KAM SHICK
Title: INSURANCE COORDINATOR
Phone: (217) 540-5141

Specialties & Taxonomy Codes

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

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