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Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Active
Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Active
Parent organization
HEARTLAND DENTAL CARE OF VIRGINIA, P.C
Other names
Gum Springs Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL CARE OF VIRGINIA, P.C
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
25739 BRANCH RAIL DR STE 160, CHANTILLY, VA 20152-4515
(571) 430-3535
(571) 430-3538
Mailing address
25739 BRANCH RAIL DR STE 160, CHANTILLY, VA 20152-4515
(571) 430-3535
(571) 430-3538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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