# KAYLEY DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Superkids Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164133450
- **Authorized official:** DANIELA ALDERETES (FINANCIAL DIRECTOR)
- **Authorized official phone:** (571) 919-5100

## Contact information

- **Practice address:** 8101 HINSON FARM RD STE 109, ALEXANDRIA, VA 22306-3403
- **Practice address phone:** (703) 516-8892
- **Practice address fax:** (703) 563-9580
- **Mailing address:** 8101 HINSON FARM RD STE 109, ALEXANDRIA, VA 22306-3403
- **Mailing address phone:** (703) 516-8892
- **Mailing address fax:** (703) 563-9580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2022
- **Last updated:** 12/08/2022