# COLUMBIA PIKE DENTAL PC

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

## Provider details

- **NPI number:** 1841683471
- **Authorized official:** JENNY O NGUYEN (OFFICE MANAGER)
- **Authorized official phone:** (703) 820-8282

## Contact information

- **Practice address:** 5555 COLUMBIA PIKE STE 102, ARLINGTON, VA 22204-3117
- **Practice address phone:** (703) 820-8282
- **Practice address fax:** (703) 820-8283
- **Mailing address:** 5555 COLUMBIA PIKE STE 102, ARLINGTON, VA 22204-3117
- **Mailing address phone:** (703) 820-8282
- **Mailing address fax:** (703) 820-8283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 040112610 | VA | Yes |

## Other

- **Enumeration date:** 03/06/2015
- **Last updated:** 03/06/2015