Individual
DR. STEPHEN P FASSNACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8500 EXECUTIVE PARK AVE STE 208, FAIRFAX, VA 22031-2253
(703) 400-3675
Mailing address
10236 FAIRE COMMONS CT, BURKE, VA 22015-2857
(703) 400-3675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5338
VA
Other
Enumeration date
10/16/2006
Last updated
02/07/2020
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