# TOTAL DENTAL WELLNESS

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

## Provider details

- **NPI number:** 1700444858
- **Authorized official:** SUNEE SALPETCHNIYOM (DENTIST)
- **Authorized official phone:** (571) 354-0079

## Contact information

- **Practice address:** 2901 TELESTAR CT \# 120, FALLS CHURCH, VA 22042-1260
- **Practice address phone:** (571) 354-0079
- **Mailing address:** 11306 MEGAN DR, FAIRFAX, VA 22030-5510
- **Mailing address phone:** (571) 354-0079

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2019
- **Last updated:** 06/04/2019