# VIRGINIA DENTAL CENTER

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

## Provider details

- **NPI number:** 1568997872
- **Authorized official:** STEPHANIE GOMEZ (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (305) 274-2499

## Contact information

- **Practice address:** 1025 N FILLMORE ST STE A, ARLINGTON, VA 22201-6700
- **Practice address phone:** (703) 243-7744
- **Mailing address:** 1025 N FILLMORE ST STE A, ARLINGTON, VA 22201-6700

## Taxonomy

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

## Other

- **Enumeration date:** 04/24/2017
- **Last updated:** 04/24/2017