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Organization
PD DENTAL PLLC
Active
Organization
PD DENTAL PLLC
Active
Other names
Family Dental of Fairfax City
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA DARY DMD (OWNER)
(571) 426-4579
Entity
Organization
Contact information
Practice address
10721 MAIN ST STE 100, FAIRFAX, VA 22030-6913
(703) 865-8829
Mailing address
12791 FAIR BRIAR LN, FAIRFAX, VA 22033-3850
(571) 426-4579
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401414585
VA
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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