Organization · Type 2 NPI

Walnut Dental Associates, LLC

Oral and Maxillofacial Surgery (Dentist) · Fairfax, VA

NPI number 1275125809 Active

Practice location

3930 Walnut St Ste 240
Fairfax, VA 22030-4738

Fax (703) 638-1421

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): 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.

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About NPI 1275125809

Walnut Dental Associates, LLC's National Provider Identifier is 1275125809, issued on Feb 4, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fairfax, VA. The record was last updated on Feb 4, 2021.