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Organization
JERROLD H EPSTEIN DOS PC
Active
Organization
JERROLD H EPSTEIN DOS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERROLD HART EPSTEIN DDS (PRESIDENT)
(703) 922-5404
Entity
Organization
Contact information
Practice address
6200 A OLD FRANCONIA ROAD, ALEXANDRIA, VA 22310-3408
(703) 922-5404
(703) 922-5406
Mailing address
6200 A OLD FRANCONIA ROAD, ALEXANDRIA, VA 22310-3408
(703) 922-5404
(703) 922-5406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006483
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
782130
UNITED CONCORDIA INSURANC
—
Enumeration date
08/18/2006
Last updated
03/07/2023
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