# KOH & ASSOCIATES, DDS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fairfax Prosthodontics & Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518268861
- **Authorized official:** DR. PHILIP I KOH DDS, MSD, PC (PRESIDENT/PRIMARY DENTIST)
- **Authorized official phone:** (703) 865-8829

## Contact information

- **Practice address:** 10721 MAIN ST STE 100, FAIRFAX, VA 22030-6913
- **Practice address phone:** (703) 865-8829
- **Mailing address:** 10721 MAIN ST STE 100, FAIRFAX, VA 22030-6913
- **Mailing address phone:** (703) 865-8829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401411961 | VA | Yes |

## Other

- **Enumeration date:** 11/03/2010
- **Last updated:** 11/03/2010