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Organization
DANIEL DAFO DDS PLLC
Active
Organization
DANIEL DAFO DDS PLLC
Active
Other names
Prince William Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DAFO DDS (OWNER)
(703) 382-6545
Entity
Organization
Contact information
Practice address
4391 RIDGEWOOD CENTER DR UNIT 1C, WOODBRIDGE, VA 22192-5399
(703) 382-6545
(703) 382-6548
Mailing address
6534 MILVA LN, SPRINGFIELD, VA 22150-4268
(304) 210-6044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413934
VA
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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