Organization
BURKE CRAWFORD DDS PLLC
Active
Other names
Fenton Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KYIAH D GILL MPH (HUMAN RESOURCES)
(240) 634-9900
Entity
Organization
Contact information
Practice address
8996 BURKE LAKE RD STE 200, BURKE, VA 22015-1607
(703) 798-9215
Mailing address
8996 BURKE LAKE RD STE 200, BURKE, VA 22015-1607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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