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Organization
GROVE DENTAL CLINIC
Active
Organization
GROVE DENTAL CLINIC
Active
Other names
McLean Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ERIKA NAUPARI DE NUNEZ (CREDENTIALING)
(703) 866-8096
Entity
Organization
Contact information
Practice address
8355B GREENSBORO DR, MC LEAN, VA 22102-3530
(703) 866-8096
(703) 866-8097
Mailing address
8355B GREENSBORO DR, MC LEAN, VA 22102-3530
(703) 866-8096
(703) 866-8097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
VA
Other
Enumeration date
03/29/2017
Last updated
04/08/2017
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