Organization
FIDEL DENTAL GROUP
Active
Other names
Arlington Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS A FIDEL (MANAGING DIRECTOR)
(703) 671-5437
Entity
Organization
Contact information
Practice address
5500 COLUMBIA PIKE, SUITE A, ARLINGTON, VA 22204
(703) 671-5437
(703) 671-5544
Mailing address
5500 COLUMBIA PIKE, SUITE A, ARLINGTON, VA 22204
(703) 671-5437
(703) 671-5544
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1396812004
DC
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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