Provider Demographics
NPI:1902634645
Name:HELENA KILIC, DMD, PLLC
Entity type:Organization
Organization Name:HELENA KILIC, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:KILIC
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:310-845-5760
Mailing Address - Street 1:2968 CHAIN BRIDGE RD STE B
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-3038
Mailing Address - Country:US
Mailing Address - Phone:703-938-1900
Mailing Address - Fax:703-938-4040
Practice Address - Street 1:2968 CHAIN BRIDGE RD STE B
Practice Address - Street 2:
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-3038
Practice Address - Country:US
Practice Address - Phone:703-938-1900
Practice Address - Fax:703-938-4040
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HELENA KILIC, DMD, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-24
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental