# DR KALLAS DENTAL CENTER PLC

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

## Provider details

- **NPI number:** 1215361712
- **Authorized official:** DR. GEITH KALLAS (PRESIDENT)
- **Authorized official phone:** (703) 622-3300

## Contact information

- **Practice address:** 8310 OLD COURTHOUSE RD, SUITE C, VIENNA, VA 22182-3872
- **Practice address phone:** (703) 356-0110
- **Mailing address:** 8310 OLD COURTHOUSE RD, SUITE C, VIENNA, VA 22182-3872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2013
- **Last updated:** 08/23/2023