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Organization
MERRIFIELD DENTAL GROUP PLLC
Active
Organization
MERRIFIELD DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEITH KALLAS DDS (OWNER)
(703) 622-3300
Entity
Organization
Contact information
Practice address
2810 OLD LEE HWY STE 200A, FAIRFAX, VA 22031-4376
(703) 945-2200
Mailing address
8310 OLD COURTHOUSE RD STE A, VIENNA, VA 22182-3872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
NULL
Other
Enumeration date
03/15/2023
Last updated
12/18/2023
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