Fairfax Advanced Dentistry, P.c.

NPI #1902360068 in Fairfax, Virginia

Provider Information

NPI Number: 1902360068
Entity Type: Organization
Organization Name: Fairfax Advanced Dentistry, P.c.
Primary Specialty: Dentist
Enumeration Date: Jan 23, 2019
Last Updated: Jan 23, 2019

Practice Location

Address: 3930 PENDER DR STE 150
City: Fairfax
State: Virginia
ZIP Code: 22030-0986
Phone: (703) 650-9299

Authorized Official

Name: ALEX OSINOVSKY
Title: OWNER
Phone: (703) 861-8777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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