# D&D DENTAL MANASSASS, PLLC

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

## Provider details

- **NPI number:** 1609358266
- **Authorized official:** DR. ANGELA DIAZ DDS (OWNER)
- **Authorized official phone:** (540) 710-0400

## Contact information

- **Practice address:** 8739 PLANTATION LN, MANASSAS, VA 20110-4506
- **Practice address phone:** (703) 368-0704
- **Mailing address:** 5830 HARRISON RD, FREDERICKSBURG, VA 22407-4202
- **Mailing address phone:** (540) 710-0400
- **Mailing address fax:** (540) 710-2322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401412527 | VA | Yes |

## Other

- **Enumeration date:** 08/30/2018
- **Last updated:** 08/30/2018