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Organization
DENTAL ONE ASSOCIATES SOUTH RIDING PC
Active
Organization
DENTAL ONE ASSOCIATES SOUTH RIDING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
25055 RIDING PLZ, 270, CHANTILLY, VA 20152-5917
(703) 491-4489
Mailing address
25055 RIDING PLZ, 270, CHANTILLY, VA 20152-5917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
VA
Other
Enumeration date
07/04/2008
Last updated
10/29/2012
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