Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DN16485 | MA |
NPI | 1598341596 |
---|---|
Provider Name | Dr. Christopher Hughes Fox |
First Address | Alexandria, VA 22314-3406 |
Second Address | Alexandria, VA 22314-3406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2021 |
Last Update Date | 20/03/2021 |