Organization · Type 2 NPI

Integrative Implant Services, LLC

Oral and Maxillofacial Surgery Clinic/Center · Mclean, VA

NPI number 1225425465 Active

Practice location

6845 Elm. St., Ste. 225
Mclean, VA 22102-3834

Fax (703) 388-0669

Mailing address

6845 Elm. Street, Suite 225
Mclean, VA 22101-3834

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112X040142450 (VA)

Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

About NPI 1225425465

Integrative Implant Services, LLC's National Provider Identifier is 1225425465, issued on Apr 24, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Mclean, VA. The record was last updated on Jun 30, 2015.