# DANIEL DAFO DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prince William Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104332295
- **Authorized official:** DR. DANIEL DAFO DDS (OWNER)
- **Authorized official phone:** (703) 382-6545

## Contact information

- **Practice address:** 4391 RIDGEWOOD CENTER DR UNIT 1C, WOODBRIDGE, VA 22192-5399
- **Practice address phone:** (703) 382-6545
- **Practice address fax:** (703) 382-6548
- **Mailing address:** 6534 MILVA LN, SPRINGFIELD, VA 22150-4268
- **Mailing address phone:** (304) 210-6044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401413934 | VA | Yes |

## Other

- **Enumeration date:** 12/27/2017
- **Last updated:** 12/27/2017