<Unavail>

LBN: Bradley D Wiltbank Dmd Pc
<Unavail> is an health care organization with primary practice located at 1313 Dolley Madison Blvd Ste 209 , Mc Lean VA 22101-3926. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Suppliers / Customized Equipment. Dental Providers / General Practice is the primary health care specialty. Bradley D Wiltbank Dmd Pc can be contacted via phone (703) 356-7890, or through Wiltbank, Brad D via phone (703) 356-7890.

Contact Information

Primary practice address
1313 Dolley Madison Blvd Ste 209 Mc Lean VA 22101-3926
Phone: (703) 356-7890
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wiltbank, Brad D Doctor of Dental Medicine (DMD)
Phone: (703) 356-7890

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1528468402
LBN Legal business name Bradley D Wiltbank Dmd Pc
DBA Doing business as <Unavail>
Authorized official Wiltbank, Brad D Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2014
Last updated Sep 8th, 2014 - about 12 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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