# SPECIALIST CARE ENDODONTICS LLC

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

## Provider details

- **NPI number:** 1134614092
- **Authorized official:** DR. ARUNDHATI MISRA SAUPARN BDS, ENDODONTIST (MANAGING MEMBER)
- **Authorized official phone:** (646) 492-0226

## Contact information

- **Practice address:** 1964 GALLOWS RD STE 220, VIENNA, VA 22182-3814
- **Practice address phone:** (703) 650-9990
- **Practice address fax:** (703) 650-9991
- **Mailing address:** 1964 GALLOWS RD STE 220, VIENNA, VA 22182-3814
- **Mailing address phone:** (703) 650-9990
- **Mailing address fax:** (703) 650-9991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 0401415163 | VA | Yes |

## Other

- **Enumeration date:** 06/24/2018
- **Last updated:** 06/24/2018