# VIRGINIA CENTER FOR COSMETIC AND GENERAL DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Virginia Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649637828
- **Authorized official:** MS. ANNE CHRISTINE HETZ MHA (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (703) 577-4317

## Contact information

- **Practice address:** 1025 N FILLMORE ST, SUITE A, ARLINGTON, VA 22201-6701
- **Practice address phone:** (703) 243-7744
- **Practice address fax:** (703) 243-7745
- **Mailing address:** 1025 N FILLMORE ST, SUITE A, ARLINGTON, VA 22201-6701
- **Mailing address phone:** (703) 243-7744
- **Mailing address fax:** (703) 243-7745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401414929 | VA | — |
| 122300000X | Dentist | 0401415279 | VA | — |
| 122300000X | Dentist | 0401415308 | VA | — |
| 1223G0001X | General Practice Dentistry | 0401413869 | VA | Yes |
| 1223G0001X | General Practice Dentistry | 0401414367 | VA | — |

## Other

- **Enumeration date:** 01/20/2016
- **Last updated:** 09/02/2016