# ANDERSON DENTAL ASSOCIATES III, PLLC

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

## Provider details

- **NPI number:** 1992303242
- **Authorized official:** JOSHUA WILFREDO ANDERSON (DENTIST)
- **Authorized official phone:** (860) 817-2787

## Contact information

- **Practice address:** 15609 WINGSPAN CT, WOODBRIDGE, VA 22193-1103
- **Practice address phone:** (860) 817-2787
- **Mailing address:** 2719 WASHINGTON BLVD, ARLINGTON, VA 22201-1942
- **Mailing address phone:** (703) 243-1810
- **Mailing address fax:** (703) 243-1874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2020
- **Last updated:** 02/25/2022