# PROHEALTH DENTISTS PLLC

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

## Provider details

- **NPI number:** 1528446457
- **Authorized official:** DR. BRIAN LEE D.M.D. (PRESIDENT)
- **Authorized official phone:** (703) 662-5600

## Contact information

- **Practice address:** 7805 ANTIOPI ST, ANNANDALE, VA 22003-1405
- **Practice address phone:** (703) 662-5600
- **Mailing address:** 7805 ANTIOPI ST, ANNANDALE, VA 22003-1405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401411230 | VA | Yes |

## Other

- **Enumeration date:** 05/12/2015
- **Last updated:** 05/12/2015