Organization
VIRGINIA DENTAL GROUP PLLC
Active
Other names
VIRGINIA DENTAL GROUP PLLC, Lida M Vargas DDS
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN PUNA (MANAGER)
(703) 385-3800
Entity
Organization
Contact information
Practice address
3911 BLENHEIM BLVD STE 42C, FAIRFAX, VA 22030-2434
(703) 385-3800
(703) 890-0084
Mailing address
3911 BLENHEIM BLVD STE 42C, FAIRFAX, VA 22030-2434
(703) 385-3800
(703) 890-0084
Taxonomy
Speciality
Code
Description
License number
State
1223X2210X
Orofacial Pain Dentistry
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
04/16/2024
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