Organization
MEDICAL MANAGEMENT OF VA
Active
Other names
Natural Horizons Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER EWENS (PRESIDENT/ CEO)
(703) 246-9355
Entity
Organization
Contact information
Practice address
11230 WAPLES MILL RD, SUITE 125, FAIRFAX, VA 22030-6087
(703) 246-9355
Mailing address
11230 WAPLES MILL RD, SUITE 125, FAIRFAX, VA 22030
(703) 246-9355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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