Neibauer Dental Care, PC
NPI #1730448010 in Centreville, Virginia
Provider Information
- NPI Number
- 1730448010
- 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
- May 8, 2012
- Last Updated
- May 8, 2012
Practice Location
- Address
- 5742 PICKWICK RD STE 15
- City
- Centreville
- State
- Virginia
- ZIP Code
- 20121-4730
- Phone
- (703) 688-2056
Authorized Official
- Name
- KELLI WALKER
- Title
- INSURANCE/CREDENTIALING
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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