# GROVE DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McLean Smile Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689106726
- **Authorized official:** CYNTHIA ERIKA NAUPARI DE NUNEZ (CREDENTIALING)
- **Authorized official phone:** (703) 866-8096

## Contact information

- **Practice address:** 8355B GREENSBORO DR, MC LEAN, VA 22102-3530
- **Practice address phone:** (703) 866-8096
- **Practice address fax:** (703) 866-8097
- **Mailing address:** 8355B GREENSBORO DR, MC LEAN, VA 22102-3530
- **Mailing address phone:** (703) 866-8096
- **Mailing address fax:** (703) 866-8097

## Taxonomy

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

## Other

- **Enumeration date:** 03/29/2017
- **Last updated:** 04/08/2017