Individual
DR. MICHAEL EDWIN OPPENHEIMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9938 MAIN ST, FAIRFAX, VA 22031-3901
(703) 591-6700
(703) 691-0686
Mailing address
9938 MAIN ST, FAIRFAX, VA 22031-3901
(703) 591-6700
(703) 691-0686
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6369
VA
Other
Enumeration date
05/24/2005
Last updated
07/08/2007
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