# R.A. MORABITO DDS PLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POTOMAC VALLEY DENTAL CARE PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679945075
- **Legal business name:** POTOMAC VALLEY DENTAL CARE PLLC
- **Authorized official:** DR. ROBERT ANTHONY MORABITO DDS (DENTIST/OWNER)
- **Authorized official phone:** (703) 919-6336

## Contact information

- **Practice address:** 6200 WILSON BLVD, SUITE 114, FALLS CHURCH, VA 22044-3203
- **Practice address phone:** (703) 534-9160
- **Mailing address:** 729 LAWTON ST, MC LEAN, VA 22101-1511
- **Mailing address phone:** (703) 534-9160
- **Mailing address fax:** (703) 237-6761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2015
- **Last updated:** 10/24/2015