# ADVANCED DENTAL CARE PLLC

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

## Provider details

- **NPI number:** 1548691231
- **Authorized official:** CYNTHIA E NUNEZ (BILLING MANAGER)
- **Authorized official phone:** (703) 578-1700

## Contact information

- **Practice address:** 1707 OSAGE ST STE 402, ALEXANDRIA, VA 22302-2611
- **Practice address phone:** (703) 578-1700
- **Practice address fax:** (703) 578-0303
- **Mailing address:** 1707 OSAGE ST STE 402, ALEXANDRIA, VA 22302-2611
- **Mailing address phone:** (703) 578-1700
- **Mailing address fax:** (703) 578-0303

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2013
- **Last updated:** 12/05/2013
