# ASSEFA DEMEWOZ DDS PLLC

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

## Provider details

- **NPI number:** 1205338118
- **Authorized official:** DR. ASSEFA DEMEWOZ DDS (OWNER)
- **Authorized official phone:** (703) 348-6969

## Contact information

- **Practice address:** 7746 GUNSTON PLZ, LORTON, VA 22079-1897
- **Practice address phone:** (703) 348-6969
- **Practice address fax:** (540) 808-1580
- **Mailing address:** 7746 GUNSTON PLZ, LORTON, VA 22079-1897
- **Mailing address phone:** (703) 348-6969
- **Mailing address fax:** (540) 808-1580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401413725 | VA | Yes |

## Other

- **Enumeration date:** 03/06/2018
- **Last updated:** 03/06/2018