# POTOMAC SURGICAL ARTS,PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Potomac Surgical Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144987025
- **Authorized official:** TRACEY BOYD (PRACTICE MANAGER)
- **Authorized official phone:** (703) 723-5366

## Contact information

- **Practice address:** 19440 GOLF VISTA PLAZA, SUITE 130, LANSDOWNE, VA 20176-8264
- **Practice address phone:** (703) 723-5366
- **Practice address fax:** (703) 723-5537
- **Mailing address:** 19440 GOLF VISTA PLZ STE 130, LANSDOWNE, VA 20176-8264
- **Mailing address phone:** (571) 239-8206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 11/26/2021
- **Last updated:** 11/26/2021