# SKINNER OSSAKOW & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SKINNER OSSAKOW & ASSOCIATES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669605754
- **Legal business name:** SKINNER OSSAKOW & ASSOCIATES
- **Authorized official:** TARA GOLDEN (OFFICE MANAGER)
- **Authorized official phone:** (703) 437-0333

## Contact information

- **Practice address:** 3065 CENTREVILLE RD UNIT A, HERNDON, VA 20171-3717
- **Practice address phone:** (703) 437-0333
- **Practice address fax:** (703) 464-8295
- **Mailing address:** 3065 CENTREVILLE RD UNIT A, HERNDON, VA 20171-3717
- **Mailing address phone:** (703) 437-0333
- **Mailing address fax:** (703) 464-8295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401004432 | VA | Yes |

## Other

- **Enumeration date:** 08/24/2009
- **Last updated:** 08/24/2009
