# FALLS CHURCH PEDIATRIC DENTAL CENTER

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

## Provider details

- **NPI number:** 1285040212
- **Authorized official:** DR. ROSELYNE N GICHANA D.M.D (MANAGER/PEDIATRIC DENTIST)
- **Authorized official phone:** (703) 533-5511

## Contact information

- **Practice address:** 6400 ARLINGTON BLVD, SUITE 80, FALLS CHURCH, VA 22042-2325
- **Practice address phone:** (703) 533-5511
- **Mailing address:** 6400 ARLINGTON BLVD, SUITE 80, FALLS CHURCH, VA 22042-2325
- **Mailing address phone:** (703) 533-5511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2014
- **Last updated:** 09/10/2014