# SAMEER KWATRA DDS, PC

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

## Provider details

- **NPI number:** 1861683666
- **Authorized official:** DR. SAMEER KWATRA D.D.S. (DENTIST)
- **Authorized official phone:** (703) 583-7720

## Contact information

- **Practice address:** 2970 PRINCE WILLIAM PKWY, WOODBRIDGE, VA 22192-4145
- **Practice address phone:** (703) 583-7720
- **Practice address fax:** (703) 583-7719
- **Mailing address:** 2970 PRINCE WILLIAM PKWY, WOODBRIDGE, VA 22192-4145
- **Mailing address phone:** (703) 583-7720
- **Mailing address fax:** (703) 583-7719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401410643 | VA | Yes |

## Other

- **Enumeration date:** 08/06/2007
- **Last updated:** 08/06/2007