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Organization
CENTREVILLE DENTAL WELLNESS CENTER,PC.
Active
Organization
CENTREVILLE DENTAL WELLNESS CENTER,PC.
Active
Other names
Centreville Dental Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENA VAKAY DDS (PRESIDENT)
(703) 815-0775
Entity
Organization
Contact information
Practice address
14245F CENTREVILLE SQ, CENTREVILLE, VA 20121-2368
(703) 815-0775
(703) 222-7557
Mailing address
14245F CENTREVILLE SQ, CENTREVILLE, VA 20121-2368
(703) 815-0775
(703) 222-7557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006027
VA
Other
Enumeration date
08/29/2011
Last updated
11/10/2011
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