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NPI Code Detail

MEDICARE: FOREST COSMETIC & FAMILY DENTISTRY

MEDICARE: FOREST COSMETIC & FAMILY DENTISTRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0401412694VA

General Provider Information

NPI Number : 1609398726
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOREST COSMETIC & FAMILY DENTISTRY
Provider Business Mailing Address
First Line : 3608 FOREST DR
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22302-1043
Country : US
Telephone Number : 703-671-8431
Fax Number : 703-988-2639
Provider Business Practice Location Address
First Line : 3608 FOREST DR
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22302-1043
Country : US
Telephone Number : 703-671-8431
Fax Number : 703-988-2639
Authorized Official
Title or Position : OFFICE MANAGER
Name : DAVID TRAN
Credential :
Telephone Number : 703-231-8750
Provider Enumeration Date : 07/11/2017
Last Update Date : 07/21/2022

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Directions to “FOREST COSMETIC & FAMILY DENTISTRY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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