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Organization
DENTAL HEALTH CENTER OF NORTHERN VIRGINIA
Active
Organization
DENTAL HEALTH CENTER OF NORTHERN VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN VAN SLOOTEN D.M.D. (OWNER)
(201) 819-8562
Entity
Organization
Contact information
Practice address
444 W BROAD ST, SUITE D, FALLS CHURCH, VA 22046-3344
(703) 462-8800
Mailing address
444 W BROAD ST, SUITE D, FALLS CHURCH, VA 22046-3344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414418
VA
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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