# KRISTEN DONOHUE DMD PC

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

## Provider details

- **NPI number:** 1215100524
- **Authorized official:** DR. KRISTEN DONOHUE DMD (DENTIST)
- **Authorized official phone:** (703) 978-1446

## Contact information

- **Practice address:** 6035 BURKE CENTRE PKWY, SUITE 260, BURKE, VA 22015-3750
- **Practice address phone:** (703) 978-1446
- **Practice address fax:** (703) 978-2932
- **Mailing address:** 6035 BURKE CENTRE PKWY, SUITE 260, BURKE, VA 22015-3750
- **Mailing address phone:** (703) 978-1446
- **Mailing address fax:** (703) 978-2932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401411397 | VA | Yes |

## Other

- **Enumeration date:** 04/08/2008
- **Last updated:** 04/08/2008