Individual
H CHARLES JELINEK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8505 ARLINGTON BLVD, STE. 260, FAIRFAX, VA 22031-4621
(703) 560-8700
(703) 560-1745
Mailing address
8505 ARLINGTON BLVD, STE. 260, FAIRFAX, VA 22031-4621
(703) 560-8700
(703) 560-1745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
VA7079
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7394890001
PTAN
VA
01
—
VA7079
VIGINIA LICENSE
VA
Enumeration date
04/17/2007
Last updated
09/15/2016
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