# GRACE DENTAL OF VIRGINIA, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700212511
- **Authorized official:** DR. SAMER JARWA (DENTIST)
- **Authorized official phone:** (703) 870-7784

## Contact information

- **Practice address:** 4530 WALNEY RD, SUITE 102, CHANTILLY, VA 20151-2284
- **Practice address phone:** (703) 870-7784
- **Mailing address:** 4530 WALNEY RD, SUITE 102, CHANTILLY, VA 20151-2284
- **Mailing address phone:** (703) 870-7784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401412081 | VA | Yes |

## Other

- **Enumeration date:** 09/25/2013
- **Last updated:** 09/25/2013