Merrifield Dental Group Pllc

NPI #1790486827 in Fairfax, Virginia

Provider Information

NPI Number: 1790486827
Entity Type: Organization
Organization Name: Merrifield Dental Group Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 15, 2023
Last Updated: Dec 18, 2023

Practice Location

Address: 2810 OLD LEE HWY STE 200A
City: Fairfax
State: Virginia
ZIP Code: 22031-4376
Phone: (703) 945-2200

Authorized Official

Name: GEITH KALLAS, DDS
Title: OWNER
Phone: (703) 622-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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