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Organization
BURKE FAMILY DENTISTRY PC
Active
Organization
BURKE FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PALMER (MANAGER)
(703) 433-0234
Entity
Organization
Contact information
Practice address
5200A ROLLING RD, BURKE, VA 22015-4696
(703) 323-3910
Mailing address
21155 WHITFIELD PLACE SUITE 104, STERLING, VA 20165
(703) 433-0234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
NULL
Other
Enumeration date
05/20/2019
Last updated
06/03/2019
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