Individual
DR. NEIL J SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9940 MAIN ST, FAIRFAX, VA 22031
(703) 385-3636
(703) 385-7625
Mailing address
9940 MAIN ST, FAIRFAX, VA 22031
(703) 385-3636
(703) 385-7625
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401003543
VA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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