Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Other names
Ridgefield Village Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
12707 RIDGEFIELD VILLAGE DR STE 101, WOODBRIDGE, VA 22193-8915
(571) 989-6570
Mailing address
12707 RIDGEFIELD VILLAGE DR STE 101, WOODBRIDGE, VA 22193-8915
(571) 989-6570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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