# DOMINION PLASTIC SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hartland Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346050978
- **Authorized official:** DANIEL GLYNN (COUNSEL)
- **Authorized official phone:** (703) 544-8971

## Contact information

- **Practice address:** 2755 HARTLAND RD STE 320, FALLS CHURCH, VA 22043-3545
- **Practice address phone:** (703) 544-8971
- **Mailing address:** 2755 HARTLAND RD STE 300, FALLS CHURCH, VA 22043-3545
- **Mailing address phone:** (703) 544-8971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2025
- **Last updated:** 01/07/2025