Organization
FAIRFAX CITY DENTIST, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADYSLAV OVCHARENKO (OWNER)
(703) 385-1617
Entity
Organization
Contact information
Practice address
3929 BLENHEIM BLVD STE 91D, FAIRFAX, VA 22030-2421
(703) 385-1617
(703) 865-7711
Mailing address
3929 BLENHEIM BLVD STE 91D, FAIRFAX, VA 22030-2421
(703) 385-1617
(703) 865-7711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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