NPI 1760811855

All Pro Dental Care

Organisation Health Maintenance Organization Fairfax, VA

Practice location

Address: 8500 Executive Park Ave Suite 208, Fairfax, VA 22031-2225
Phone: (703) 663-8276

Authorised official

Name: Mai Koussa
Title: Dentist
Phone: (703) 663-8276

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 0401410151 (VA)

Other Health Maintenance Organization providers in Virginia →

Registry record

NPI: 1760811855
Entity type: Organization
NPI issued: 8 Nov 2013
Record last updated: 8 Nov 2013

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.