Fair Lakes Family and Cosmetic Dentistry
Fair Lakes Family and Cosmetic Dentistry provides General Practice Dentistry in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2012.
- Licensed in
- VA
- In the registry since
- 2012
Practice location Address checks out
12110 Monument Dr Ste AFairfax, VA 22033-5553 Not confirmed with CMS for 14 years — call before visiting
Phone: (703) 273-4505
Fax: (703) 273-5757
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 0401410709 (VA) |
|---|
Record details
| NPI number | 1427322734 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Annah Tran — Dentist, President · (703) 273-4505 |
| NPI enumerated | March 5, 2012 |
| Last updated in NPPES | March 5, 2012 |
| Mailing address | 12110 Monument Dr Ste A, Fairfax, VA 22033-5553 |
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