# GD VA ADE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arlington Dental Excellence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154023927
- **Authorized official:** CHAD HENDRICKS (CREDENTIALING)
- **Authorized official phone:** (612) 859-0444

## Contact information

- **Practice address:** 3301 FAIRFAX DR STE 54, ARLINGTON, VA 22201-4426
- **Practice address phone:** (701) 352-5015
- **Mailing address:** 3301 FAIRFAX DR STE 54, ARLINGTON, VA 22201-4426
- **Mailing address phone:** (701) 352-5015

## Taxonomy

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

## Other

- **Enumeration date:** 03/17/2023
- **Last updated:** 03/17/2023