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Organization
DENTAL ASSOCIATES OF NORTHERN VIRGINIA PLLC
Active
Organization
DENTAL ASSOCIATES OF NORTHERN VIRGINIA PLLC
Active
Other names
Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
STAN KINDER (REGIONAL VICE PRESIDENT)
(703) 298-1690
Entity
Organization
Contact information
Practice address
12011 LEE JACKSON HWY, SUITE 105, FAIRFAX, VA 22033-3310
(703) 273-5354
(703) 273-8149
Mailing address
12701 FAIR LAKES CIR, SUITE 500, FAIRFAX, VA 22033-4910
(703) 269-3150
(703) 449-9865
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
401005854
VA
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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