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Organization
NORTHERN VIRGINIA ENDODONTIC ASSOCIATES, PLLC
Active
Organization
NORTHERN VIRGINIA ENDODONTIC ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A CHERON DMD, MS (MANAGING MEMBER)
(267) 252-0125
Entity
Organization
Contact information
Practice address
3833 FAIRFAX DR, SUITE 440, ARLINGTON, VA 22203-1772
(267) 252-0125
Mailing address
1105 RUSSELL RD, ALEXANDRIA, VA 22301-2436
(267) 252-0125
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401412778
VA
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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