Organization
MAXFAXJE, PLLC
Active
Other names
Greater Washington Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN SOHN (REGIONAL DIRECTOR)
(202) 880-2275
Entity
Organization
Contact information
Practice address
8707 DIGGES RD, MANASSAS, VA 20110-4403
(703) 263-8640
Mailing address
4210 FAIRFAX CORNER AVE W STE 215, FAIRFAX, VA 22030-8627
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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