Organization
ORAL AND FACIAL SURGERY CENTER OF VIRGINIA
Active
Organization
ORAL AND FACIAL SURGERY CENTER OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASNAIN SHINWARI DDS (PRESIDENT)
(857) 247-6414
Entity
Organization
Contact information
Practice address
3787 FETTLER PARK DR STE A8, DUMFRIES, VA 22025-1946
(857) 247-6414
Mailing address
3887 FAIRFAX RIDGE RD APT 313, FAIRFAX, VA 22030-7544
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
0401415066
VA
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
0438000358
VA
Other
Enumeration date
12/28/2017
Last updated
03/23/2018
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