NPI 1023385648

Neibauer Dental Care, PC

Organisation General Practice Dentistry Woodbridge, VA

Practice location

Address: 14901 Potomac Town Pl Suite 175, Woodbridge, VA 22191-4096
Phone: (703) 580-5515
Fax: (703) 583-1487

Authorised official

Name: Kim Wilson
Title: Credentialing Coord.
Phone: (217) 540-5100

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1023385648
Entity type: Organization
NPI issued: 28 Nov 2011
Record last updated: 28 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.