# CENTREVILLE DENTAL WELLNESS CENTER,PC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centreville Dental Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285914796
- **Authorized official:** DR. RENA VAKAY DDS (PRESIDENT)
- **Authorized official phone:** (703) 815-0775

## Contact information

- **Practice address:** 14245F CENTREVILLE SQ, CENTREVILLE, VA 20121-2368
- **Practice address phone:** (703) 815-0775
- **Practice address fax:** (703) 222-7557
- **Mailing address:** 14245F CENTREVILLE SQ, CENTREVILLE, VA 20121-2368
- **Mailing address phone:** (703) 815-0775
- **Mailing address fax:** (703) 222-7557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401006027 | VA | Yes |

## Other

- **Enumeration date:** 08/29/2011
- **Last updated:** 11/10/2011