Organization
FONTES LEE PLLC
Active
Other names
Chantilly Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ATTN: FERNANDA G FONTES DDS (PEDIATRIC DENTIST)
(734) 645-5820
Entity
Organization
Contact information
Practice address
4229 LAFAYETTE CENTER DR STE 1400, CHANTILLY, VA 20151-1267
(703) 378-2000
Mailing address
4229 LAFAYETTE CENTER DR STE 1400, CHANTILLY, VA 20151-1267
(734) 645-5820
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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