Organization
SPECIALIST CARE ENDODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARUNDHATI MISRA SAUPARN BDS, ENDODONTIST (MANAGING MEMBER)
(646) 492-0226
Entity
Organization
Contact information
Practice address
1964 GALLOWS RD STE 220, VIENNA, VA 22182-3814
(703) 650-9990
(703) 650-9991
Mailing address
1964 GALLOWS RD STE 220, VIENNA, VA 22182-3814
(703) 650-9990
(703) 650-9991
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401415163
VA
Other
Enumeration date
06/24/2018
Last updated
06/24/2018
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