NPI: 1467990895 · CHANTILLY, VA 20152 · Ambulatory Surgical Clinic/Center · NPI assigned 02/06/2017
| Authorized Official | LONGWE, EDWARD (OFFICE MANAGER) |
| Parent Organization | DULLES ORAL SURGICAL CENTER |
| NPI Enumeration Date | 02/06/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9310 | 13 | 12 | $1K |