# HUNTINGTON DENTAL PLLC

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

## Provider details

- **NPI number:** 1053010413
- **Authorized official:** MELISSA PANDIN (BOOKKEEPER)
- **Authorized official phone:** (703) 960-8670

## Contact information

- **Practice address:** 5956 RICHMOND HWY, ALEXANDRIA, VA 22303-1871
- **Practice address phone:** (703) 960-8670
- **Practice address fax:** (703) 960-0267
- **Mailing address:** 5956 RICHMOND HWY, ALEXANDRIA, VA 22303-1871
- **Mailing address phone:** (703) 960-8670
- **Mailing address fax:** (703) 960-0267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2023
- **Last updated:** 02/24/2023