Organization
MAXFAXJE, PLLC
Active
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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