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Organization

FALLS CHURCH MODERN DENTISTRY, PC

Active
Other names
Falls Church Modern Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL RIBEIRO DMD (OWNER/DDS)
(703) 519-6697
Entity
Organization

Contact information

Practice address
1212 W BROAD ST, FALLS CHURCH, VA 22046-2116
(703) 519-6697
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
03/06/2019
Last updated
08/22/2024
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