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Organization
S&L DENTAL GROUP
Active
Organization
S&L DENTAL GROUP
Active
Other names
Dahlgren Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE E LA DMD (DENTIST)
(617) 678-2875
Entity
Organization
Contact information
Practice address
5212 KINGS WOOD LN, KING GEORGE, VA 22485-5612
(617) 678-2875
Mailing address
5659 FAIRCLOTH CT, CENTREVILLE, VA 20120-1992
(617) 678-2875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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