# ALEXANDRIA HEALTH DEPARTMENT DENTAL CLINIC

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

## Provider details

- **NPI number:** 1134223746
- **Authorized official:** MR. MICHAEL L. WIENER (ADMINISTRATOR)
- **Authorized official phone:** (703) 838-4400

## Contact information

- **Practice address:** 4480 KING ST, ALEXANDRIA, VA 22302-1300
- **Practice address phone:** (703) 838-4400
- **Mailing address:** 4480 KING ST, ALEXANDRIA, VA 22302-1300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 06/13/2008