# OPTIMUM DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194108332
- **Authorized official:** DR. CHELSEA LYNN BALDERSON DDS (GENERAL DENTIST/OWNER)
- **Authorized official phone:** (571) 765-0055

## Contact information

- **Practice address:** 7389 LEE HWY, STE. \#101, FALLS CHURCH, VA 22042-1736
- **Practice address phone:** (703) 468-4437
- **Mailing address:** 7389 LEE HWY, STE. \#101, FALLS CHURCH, VA 22042-1736
- **Mailing address phone:** (703) 468-4437

## Taxonomy

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

## Other

- **Enumeration date:** 07/07/2015
- **Last updated:** 07/07/2015