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Organization
DKDC ORTHODONTICS PLLC
Active
Organization
DKDC ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEITH KALLAS (PRESIDENT)
(703) 356-0250
Entity
Organization
Contact information
Practice address
8310 OLD COURTHOUSE RD STE C, VIENNA, VA 22182-3872
(703) 356-0250
Mailing address
8310 OLD COURTHOUSE RD STE C, VIENNA, VA 22182-3872
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008829
VA
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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