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Organization

HUTCHISON AND GORMAN, LLC

Active
Parent organization
POTOMAC VALLEY DENTAL CARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
POTOMAC VALLEY DENTAL CARE
Authorized official
DR. MICHAEL GORMAN DDS (DENTIST/OWNER)
(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
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/26/2015
Last updated
10/26/2015
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