# GD VA FAIRLINGTON, PLLC

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

## Provider details

- **NPI number:** 1215646161
- **Authorized official:** CHAD HENDRICKS (CREDENTIALING)
- **Authorized official phone:** (612) 859-0444

## Contact information

- **Practice address:** 4850 31ST ST S STE A, ARLINGTON, VA 22206-1661
- **Practice address phone:** (703) 671-1001
- **Mailing address:** 4850 31ST ST S STE A, ARLINGTON, VA 22206-1661
- **Mailing address phone:** (703) 671-1001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2022
- **Last updated:** 11/18/2022