Organization
NEIBAUER DENTAL CARE, PC
Active
Parent organization
NEIBAUER DENTAL CARE, PC
Other names
Neibauer Dental Care - Farifaz
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEIBAUER DENTAL CARE, PC
Authorized official
KAM SHICK (INSURANCE COORDINATOR)
(217) 540-5141
Entity
Organization
Contact information
Practice address
9547A FAIRFAX BLVD, FAIRFAX, VA 22031-4740
(703) 359-2879
(703) 359-2983
Mailing address
9547A FAIRFAX BLVD, FAIRFAX, VA 22031-4740
(703) 359-2879
(703) 359-2983
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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