Organization
FAIR OAKS SKIN CARE CENTER, LTD
Active
Other names
FAIR OAKS SKIN CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA DINTIMAN M.D. (PRESIDENT)
(703) 648-2488
Entity
Organization
Contact information
Practice address
3700 JOSEPH SIEWICK DR, SUITE 403, FAIRFAX, VA 22033-1744
(703) 648-2488
(703) 648-2489
Mailing address
3700 JOSEPH SIEWICK DR, SUITE 403, FAIRFAX, VA 22033-1744
(703) 648-2488
(703) 648-2489
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101046760
VA
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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