NPI 1487821427

Ruby Ann E Bisson, DMD, PC

Organisation Preferred Provider Organization Manassas, VA

Practice location

Address: 10670 Crestwood Dr STE B, Manassas, VA 20109-4408
Phone: (703) 361-0555
Fax: (703) 361-6255

Authorised official

Name: Murrie Lufsey
Title: Office Manager
Phone: (703) 361-0555

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 0401008955 (VA)

Other Preferred Provider Organization providers in Virginia →

Registry record

NPI: 1487821427
Entity type: Organization
NPI issued: 9 May 2008
Record last updated: 9 May 2008

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.