Organization
CHAD KASPEROWSKI, DMD, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD ALAN KASPEROWSKI D.M.D. (DENTIST)
(703) 591-5637
Entity
Organization
Contact information
Practice address
11200 LEE HWY, FAIRFAX, VA 22030-5045
(703) 591-5637
(703) 591-7934
Mailing address
11200 LEE HWY, FAIRFAX, VA 22030-5045
(703) 591-5637
(703) 591-7934
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
411416
VA
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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