# SUNRISE VALLEY DENTAL ASSOCIATES, PLLC

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

## Provider details

- **NPI number:** 1740520378
- **Authorized official:** CYNTHIA M LOAYZA (ADMINISTRATOR)
- **Authorized official phone:** (703) 451-8332

## Contact information

- **Practice address:** 12950 HIGHLAND CROSSING DR STE F, HERNDON, VA 20171-5888
- **Practice address phone:** (703) 787-9670
- **Mailing address:** 12950 HIGHLAND CROSSING DR STE F, HERNDON, VA 20171-5888
- **Mailing address phone:** (703) 787-9670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/19/2013
- **Last updated:** 02/19/2013