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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