Pdc Pediatric Dental Care Pllc

NPI #1700547932 in Fairfax, Virginia

Provider Information

NPI Number: 1700547932
Entity Type: Organization
Organization Name: Pdc Pediatric Dental Care Pllc
Primary Specialty: Dentist
Enumeration Date: Jan 10, 2022
Last Updated: Jan 10, 2022

Practice Location

Address: 9901 FAIRFAX BLVD
City: Fairfax
State: Virginia
ZIP Code: 22030-1740
Phone: (703) 383-3434

Authorized Official

Name: MICHAEL COLE
Title: VP INSURANCE PLAN MANAGEMENT
Phone: (727) 424-2990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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