# HERNDON DENTAL ARTS AT WOODLAND PARK, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dumfries Dental Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740602291
- **Authorized official:** CHRIS BARBOSA (OFFICE MANAGER)
- **Authorized official phone:** (703) 953-3307

## Contact information

- **Practice address:** 12973 HIGHLAND CROSSING DRIVE, STE B, HERNDON, VA 20171
- **Practice address phone:** (703) 953-3307
- **Practice address fax:** (703) 953-3308
- **Mailing address:** 12973 HIGHLAND CROSSING DRIVE, STE B, HERNDON, VA 20171
- **Mailing address phone:** (703) 953-3307
- **Mailing address fax:** (703) 953-3308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401413520 | VA | Yes |

## Other

- **Enumeration date:** 01/16/2014
- **Last updated:** 01/16/2014
