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Organization
TOTAL DENTAL WELLNESS
Active
Organization
TOTAL DENTAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNEE SALPETCHNIYOM (DENTIST)
(571) 354-0079
Entity
Organization
Contact information
Practice address
2901 TELESTAR CT # 120, FALLS CHURCH, VA 22042-1260
(571) 354-0079
Mailing address
11306 MEGAN DR, FAIRFAX, VA 22030-5510
(571) 354-0079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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