Organization
NEIBAUER DENTAL CARE, PC
Active
Parent organization
NEIBAUER DENTAL CARE, PC
Other names
Neibauer Dental Care - Herndon
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEIBAUER DENTAL CARE, PC
Authorized official
KELLI WALKER (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
12973 HIGHLAND CROSSING DR STE E, HERNDON, VA 20171-5890
(703) 435-9178
(703) 435-9839
Mailing address
12973 HIGHLAND CROSSING DR STE E, HERNDON, VA 20171-5890
(703) 435-9178
(703) 435-9839
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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