# AM CUJAR DDS & ASSOCIATES S-CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AMC Dental SPA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659643005
- **Authorized official:** MR. CAMILO CUJAR (GENERAL MANAGER)
- **Authorized official phone:** (703) 889-5420

## Contact information

- **Practice address:** 104 ELDEN ST, SUITE 10, HERNDON, VA 20170-4871
- **Practice address phone:** (703) 889-5420
- **Practice address fax:** (703) 889-5419
- **Mailing address:** 104 ELDEN ST, SUITE 10, HERNDON, VA 20170-4871
- **Mailing address phone:** (703) 889-5420
- **Mailing address fax:** (703) 889-5419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401411978 | VA | Yes |

## Other

- **Enumeration date:** 02/01/2012
- **Last updated:** 02/01/2012