Organization · Type 2 NPI

Boulevard Dental Clinic

Dental Clinic/Center · Fairfax, VA

NPI number 1639346182 Active

Practice location

8301 Arlington Blvd, Suite #403
Fairfax, VA 22031-2902

Call (703) 206-0466 Map

Fax (703) 206-0479

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X0401008771 (VA)

Dental Clinic/Center: Definition to come...

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About NPI 1639346182

Boulevard Dental Clinic's National Provider Identifier is 1639346182, issued on May 14, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fairfax, VA. The record was last updated on May 14, 2008.