Organization
CENTREVILLE CHILDREN'S DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUKSANA TALAKSI DDS (DENTIST/OWNER)
(703) 715-9555
Entity
Organization
Contact information
Practice address
14245M CENTREVILLE SQ, CENTREVILLE, VA 20121-2368
(703) 715-9555
Mailing address
14245M CENTREVILLE SQ, CENTREVILLE, VA 20121-2368
(703) 715-9555
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
VA
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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