<Unavail>

LBN: Boulevard Dental Clinic
<Unavail> is an health care organization with primary practice located at 8301 Arlington Blvd Suite #403, Fairfax VA 22031-2902. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Boulevard Dental Clinic can be contacted via phone (703) 206-0466, or through Gaitan, Ricardo Moises via phone (703) 206-0466.

Contact Information

Primary practice address
8301 Arlington Blvd Suite #403 Fairfax VA 22031-2902
Phone: (703) 206-0466
Fax: (703) 206-0479
Website:
Map and Directions
Authorized official contact:
Name: Gaitan, Ricardo Moises DDS/PC
Phone: (703) 206-0466

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 0401008771 Virginia

Profile Details

NPI number 1639346182
LBN Legal business name Boulevard Dental Clinic
DBA Doing business as <Unavail>
Authorized official Gaitan, Ricardo Moises DDS/PC
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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