Organization
POTOMAC VALLEY DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HARKINS GORMAN DDS (DENTIST)
(703) 830-9110
Entity
Organization
Contact information
Practice address
14245P CENTREVILLE SQ, CENTREVILLE, VA 20121-2368
(703) 830-9110
(703) 830-1632
Mailing address
14245P CENTREVILLE SQ, CENTREVILLE, VA 20121-2368
(703) 830-9110
(703) 830-1632
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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