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Organization
SPECIALIST CARE ENDODONTICS LLC
Active
Organization
SPECIALIST CARE ENDODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARUNDHATI MISRA SAUPARN BDS, ENDODONTIST (MANAGING MEMBER)
(646) 492-0226
Entity
Organization
Contact information
Practice address
1964 GALLOWS RD STE 220, VIENNA, VA 22182-3814
(703) 650-9990
(703) 650-9991
Mailing address
1964 GALLOWS RD STE 220, VIENNA, VA 22182-3814
(703) 650-9990
(703) 650-9991
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401415163
VA
Other
Enumeration date
06/24/2018
Last updated
06/24/2018
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