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Organization
OPTIMAL DENTAL CENTER, INC
Active
Organization
OPTIMAL DENTAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUYEN NGOC DANG D.D.S. (PRESIDENT)
(703) 389-2943
Entity
Organization
Contact information
Practice address
8303 ARLINGTON BLVD, SUITE 107, FAIRFAX, VA 22031-2903
(703) 573-1313
(703) 573-6180
Mailing address
8303 ARLINGTON BLVD, SUITE 107, FAIRFAX, VA 22031-2903
(703) 573-1313
(703) 573-6180
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
0401006304
VA
261QD0000X
Dental Clinic/Center
Primary
0401410698
VA
261QD0000X
Dental Clinic/Center
0401412564
VA
261QD0000X
Dental Clinic/Center
0401414108
VA
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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