Organization
DACZKOWSKI ORTHODONTICS
Active
Other names
Dr D's Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
TELISA LYNN KIDD-WISE (PRACTICE MANAGER)
(703) 361-4278
Entity
Organization
Contact information
Practice address
8715 STONEWALL ROAD, MANASSAS, VA 20110
(703) 361-4278
(703) 361-2449
Mailing address
8715 STONEWALL ROAD, MANASSAS, VA 20110
(703) 361-4278
(703) 361-2449
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401410230
VA
Other
Enumeration date
10/09/2015
Last updated
02/17/2017
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