# GD VA WEST SPRINGFIELD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Springfield Dental Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235874090
- **Authorized official:** CHAD HENDRICKS (CREDENTIALING)
- **Authorized official phone:** (612) 859-0444

## Contact information

- **Practice address:** 6116 ROLLING RD STE 316, SPRINGFIELD, VA 22152-1512
- **Practice address phone:** (703) 451-8332
- **Mailing address:** 6116 ROLLING RD STE 316, SPRINGFIELD, VA 22152-1512
- **Mailing address phone:** (703) 451-8332

## Taxonomy

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

## Other

- **Enumeration date:** 05/04/2022
- **Last updated:** 05/04/2022