Organization
DENTISTS OF FAIR OAKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENTISTS OF FAIR OAKS (MANAGER)
(703) 766-1575
Entity
Organization
Contact information
Practice address
12011 ROUTE 50 STE 104, FAIRFAX, VA 22033-3310
(703) 766-1575
Mailing address
12011 ROUTE 50 STE 104, FAIRFAX, VA 22033-3310
(703) 766-1575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/17/2026
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