# GROVE DENTAL CLINIC, P.C.

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

## Provider details

- **NPI number:** 1578934196
- **Authorized official:** DR. MAQSOOD A CHAUDHRY DDS (CEO)
- **Authorized official phone:** (703) 578-8888

## Contact information

- **Practice address:** 8270 GREENSBORO DR, SUITE NUMBER 101, MC LEAN, VA 22102-3800
- **Practice address phone:** (703) 578-8888
- **Practice address fax:** (866) 229-6889
- **Mailing address:** 8270 GREENSBORO DR, SUITE NUMBER 101, MC LEAN, VA 22102-3800
- **Mailing address phone:** (703) 578-8888
- **Mailing address fax:** (866) 229-6889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 0401414938 | VA | — |
| 1223G0001X | General Practice Dentistry | 0401007713 | VA | Yes |
| 1223P0300X | Periodontics | 0401414676 | VA | — |

## Other

- **Enumeration date:** 10/08/2015
- **Last updated:** 10/08/2015