# ALEXANDRIA PEDIATRIC DENTISTRY, PLC

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

## Provider details

- **NPI number:** 1740604693
- **Authorized official:** DR. JOSEPH WONG LOPEZ D.M.D, M.P.H. (OWNER)
- **Authorized official phone:** (571) 257-5744

## Contact information

- **Practice address:** 3223 DUKE ST, SUITE A, ALEXANDRIA, VA 22314-4586
- **Practice address phone:** (571) 257-5744
- **Practice address fax:** (571) 257-5759
- **Mailing address:** 3223 DUKE ST, SUITE A, ALEXANDRIA, VA 22314-4586
- **Mailing address phone:** (571) 257-5744
- **Mailing address fax:** (571) 257-5759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401414156 | VA | Yes |

## Other

- **Enumeration date:** 02/13/2014
- **Last updated:** 02/13/2014