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Organization
PRESTIGE DENTAL SPECIALISTS PLLC
Active
Organization
PRESTIGE DENTAL SPECIALISTS PLLC
Active
Other names
Center for Dentofacial Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRIE LYNCH (DENTAL OFFICE MANAGER)
(703) 256-2556
Entity
Organization
Contact information
Practice address
7630 LITTLE RIVER TPKE, SUE 115, ANNANDALE, VA 22003-2610
(703) 256-2556
(703) 256-7722
Mailing address
7630 LITTLE RIVER TPKE, SUE 115, ANNANDALE, VA 22003-2610
(703) 256-2556
(703) 256-7722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413960
VA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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