# OPTIMAL DENTAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518330133
- **Authorized official:** DR. QUYEN NGOC DANG D.D.S. (PRESIDENT)
- **Authorized official phone:** (703) 389-2943

## Contact information

- **Practice address:** 8303 ARLINGTON BLVD, SUITE 107, FAIRFAX, VA 22031-2903
- **Practice address phone:** (703) 573-1313
- **Practice address fax:** (703) 573-6180
- **Mailing address:** 8303 ARLINGTON BLVD, SUITE 107, FAIRFAX, VA 22031-2903
- **Mailing address phone:** (703) 573-1313
- **Mailing address fax:** (703) 573-6180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401006304 | VA | — |
| 261QD0000X | Dental Clinic/Center | 0401410698 | VA | Yes |
| 261QD0000X | Dental Clinic/Center | 0401412564 | VA | — |
| 261QD0000X | Dental Clinic/Center | 0401414108 | VA | — |

## Other

- **Enumeration date:** 11/04/2015
- **Last updated:** 11/04/2015