# DONTI DENTAL, PLLC

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

## Provider details

- **NPI number:** 1962827782
- **Authorized official:** DR. RUTH KATHLEEN DUCHATELLIER-CANGE DDS (OWNER/DENTIST)
- **Authorized official phone:** (703) 723-0400

## Contact information

- **Practice address:** 22621 AMENDOLA TER, SUITE 110, ASHBURN, VA 20148-7528
- **Practice address phone:** (703) 723-0400
- **Practice address fax:** (703) 723-0403
- **Mailing address:** 22621 AMENDOLA TER, SUITE 110, ASHBURN, VA 20148-7528
- **Mailing address phone:** (703) 723-0400
- **Mailing address fax:** (703) 723-0403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401412622 | VA | Yes |

## Other

- **Enumeration date:** 03/03/2014
- **Last updated:** 03/03/2014