# KEVIN MENDES, D.D.S. & ASSOCIATES, P.L.L.C.

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

## Provider details

- **NPI number:** 1316210792
- **Authorized official:** KEVIN C MENDES D.D.S. (OWNER)
- **Authorized official phone:** (703) 368-4725

## Contact information

- **Practice address:** 8404 DORSEY CIR, MANASSAS, VA 20110-4592
- **Practice address phone:** (703) 368-4725
- **Mailing address:** 8404 DORSEY CIR, MANASSAS, VA 20110-4592
- **Mailing address phone:** (703) 368-4725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401401782 | VA | Yes |

## Other

- **Enumeration date:** 02/16/2012
- **Last updated:** 02/16/2012
