Dental Center of Herndon

NPI #1457608986 in Herndon, Virginia

Provider Information

NPI Number: 1457608986
Entity Type: Organization
Organization Name: Dental Center of Herndon
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 15, 2012
Last Updated: Aug 15, 2012

Practice Location

Address: 1110 ELDEN ST.
Address 2: SUITE E108
City: Herndon
State: Virginia
ZIP Code: 20170
Phone: (703) 318-7200

Authorized Official

Name: DR. KENNETH QIU
Title: DENTIST/PRESIDENT
Phone: (703) 318-7200

Specialties & Taxonomy Codes

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

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