Organization
EVELYN T SAMUEL DMD PC
Active
Other names
Samuel Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVELYN SAMUEL DMD (DENTIST)
(571) 297-4302
Entity
Organization
Contact information
Practice address
8301 ARLINGTON BLVD, STE. 207, FAIRFAX, VA 22031-2902
(571) 297-4302
Mailing address
8301 ARLINGTON BLVD, STE. 207, FAIRFAX, VA 22031-2902
(571) 297-4302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413391
VA
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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