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Organization
DOMINION PLASTIC SURGERY LLC
Active
Organization
DOMINION PLASTIC SURGERY LLC
Active
Other names
Hartland Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL GLYNN (COUNSEL)
(703) 884-2399
Entity
Organization
Contact information
Practice address
2755 HARTLAND RD STE 300, FALLS CHURCH, VA 22043-3545
(703) 884-2399
Mailing address
2755 HARTLAND RD STE 300, FALLS CHURCH, VA 22043-3545
(703) 884-2399
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
07/18/2024
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