# OAK TREE DENTAL LLC

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

## Provider details

- **NPI number:** 1316323546
- **Authorized official:** KOWSHIK R VADDI DMD (OWNER/DENTIST)
- **Authorized official phone:** (774) 212-3828

## Contact information

- **Practice address:** 8353 GREENSBORO DR, SUITE A & B, MC LEAN, VA 22102-3530
- **Practice address phone:** (774) 212-3828
- **Mailing address:** 8353 GREENSBORO DR, SUITE A & B, MC LEAN, VA 22102-3530
- **Mailing address phone:** (774) 212-3828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401414337 | VA | Yes |

## Other

- **Enumeration date:** 08/11/2015
- **Last updated:** 08/11/2015