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Organization
NANA DICKSON, DDS PC
Active
Organization
NANA DICKSON, DDS PC
Active
Other names
Allegra Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANA ESI DICKSON DDS (OWNER/DENTIST)
(571) 419-6897
Entity
Organization
Contact information
Practice address
3040 WILLIAMS DR, SUITE #201, FAIRFAX, VA 22031-4618
(571) 419-6897
(571) 419-6889
Mailing address
6251 CASDIN DR, ALEXANDRIA, VA 22310-2674
(503) 803-8297
(571) 419-6889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414277
VA
Other
Enumeration date
10/28/2015
Last updated
11/11/2015
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