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Organization
NORTHERN VIRGINIA PERIODONTICS, PLLC.
Active
Organization
NORTHERN VIRGINIA PERIODONTICS, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO TOMAS CARLOS D.M.D., M.S.D., P.C. (PRESIDENT)
(703) 534-1766
Entity
Organization
Contact information
Practice address
103 W BROAD ST, STE. 601, FALLS CHURCH, VA 22046-4235
(703) 534-1766
(703) 534-1976
Mailing address
103 W BROAD ST, STE. 601, FALLS CHURCH, VA 22046-4235
(703) 534-1766
(703) 534-1976
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
887
VA
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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