# J.R. RIOS D.D.S., P.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043563133
- **Authorized official:** MRS. DONNA B RIOS (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (703) 421-9755

## Contact information

- **Practice address:** 21495 RIDGETOP CIR, SUITE 200, STERLING, VA 20166-6512
- **Practice address phone:** (703) 450-8803
- **Mailing address:** 21495 RIDGETOP CIR, SUITE 200, STERLING, VA 20166-6512
- **Mailing address phone:** (703) 450-8803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401008601 | VA | Yes |

## Other

- **Enumeration date:** 10/26/2012
- **Last updated:** 10/26/2012
