Organization
DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA
Active
Parent organization
COUNTY OF FAIRFAX, VIRGINIA
Other names
Fairfax County Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF FAIRFAX, VIRGINIA
Authorized official
MR. ANTHONY GRIFFIN (COUNTY EXECUTIVE)
(703) 324-3360
Entity
Organization
Contact information
Practice address
10777 MAIN ST, SUITE 202, FAIRFAX, VA 22030-6903
(703) 246-8695
Mailing address
12000 GOVERNMENT CENTER PKWY, SUITE 552, FAIRFAX, VA 22035-0001
(703) 324-3360
(703) 324-4573
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8450251
—
VA
05
—
8451231
—
VA
05
—
8451249
—
VA
Enumeration date
07/11/2006
Last updated
06/18/2008
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