Organization
YOLONDA L WEAVER DDS PC
Active
Other names
Fairfax Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALIKO MWAISELA (BUSINESS MANAGER)
(703) 273-1443
Entity
Organization
Contact information
Practice address
4000 VIRGINIA ST, FAIRFAX, VA 22032-1047
(703) 273-1443
(703) 273-9186
Mailing address
4000 VIRGINIA ST, FAIRFAX, VA 22032-1047
(703) 273-1443
(703) 273-9186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410745
VA
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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