Organization
NORTHERN VIRGINIA PERIODONTICS, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO TOMAS CARLOS D.M.D., M.S.D., P.C. (PRESIDENT)
(703) 534-1766
Entity
Organization
Contact information
Practice address
103 W BROAD ST, STE. 601, FALLS CHURCH, VA 22046-4235
(703) 534-1766
(703) 534-1976
Mailing address
103 W BROAD ST, STE. 601, FALLS CHURCH, VA 22046-4235
(703) 534-1766
(703) 534-1976
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
887
VA
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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