# PRIME DENTAL CARE PLLC

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

## Provider details

- **NPI number:** 1114661576
- **Authorized official:** JASWINDER SINGH DDS (MEMBER)
- **Authorized official phone:** (301) 366-2682

## Contact information

- **Practice address:** 12719 APOLLO DR, DALE CITY, VA 22193
- **Practice address phone:** (301) 366-2682
- **Mailing address:** 14361 STONEWATER CT, CENTREVILLE, VA 20121-5731
- **Mailing address phone:** (301) 366-2682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2022
- **Last updated:** 04/22/2022
