Organization
AESTHETIC DENTISTRY OF OAKTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A. KHALIL DDS (OWNER)
(703) 255-1150
Entity
Organization
Contact information
Practice address
2936 CHAIN BRIDGE RD, SUITE 200, OAKTON, VA 22124-3003
(703) 255-1150
(703) 255-2733
Mailing address
2936 CHAIN BRIDGE RD, SUITE 200, OAKTON, VA 22124-3003
(703) 255-1150
(703) 255-2733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413652
VA
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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