Organization
KOH & ASSOCIATES, DDS, P.C.
Active
Other names
Fairfax Prosthodontics & Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP I KOH DDS, MSD, PC (PRESIDENT/PRIMARY DENTIST)
(703) 865-8829
Entity
Organization
Contact information
Practice address
10721 MAIN ST STE 100, FAIRFAX, VA 22030-6913
(703) 865-8829
Mailing address
10721 MAIN ST STE 100, FAIRFAX, VA 22030-6913
(703) 865-8829
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411961
VA
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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