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Organization
KEVIN JAMES SALINAS, DDS, PC
Active
Organization
KEVIN JAMES SALINAS, DDS, PC
Active
Other names
My Woodbridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JAMES SALINAS DDS (OWNER/ PRESIDENT)
(202) 230-2579
Entity
Organization
Contact information
Practice address
4893 PRINCE WILLIAM PKWY STE 101, WOODBRIDGE, VA 22192-5404
(703) 494-2226
Mailing address
13175 MARINA WAY APT 509, WOODBRIDGE, VA 22191-1277
(202) 230-2579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401416542
VA DENTAL LICENSE
VA
Enumeration date
07/21/2020
Last updated
07/30/2020
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