Organization · Type 2 NPI
Prime Family Dentistry, PLLC
Dental Clinic/Center · Chantilly, VA
NPI number
1255832234
Active
Practice location
24805 Pinebrook Rd # 316
Chantilly, VA 20152-4126
Mailing address
22917 Emerald Chase Pl
Ashburn, VA 20148-6446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1255832234
Prime Family Dentistry, PLLC's National Provider Identifier is 1255832234, issued on Feb 23, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chantilly, VA. The record was last updated on Feb 23, 2018.