Organization
POTOMAC SURGICAL ARTS,PC
Active
Other names
Potomac Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY BOYD (PRACTICE MANAGER)
(703) 723-5366
Entity
Organization
Contact information
Practice address
19440 GOLF VISTA PLAZA, SUITE 130, LANSDOWNE, VA 20176-8264
(703) 723-5366
(703) 723-5537
Mailing address
19440 GOLF VISTA PLZ STE 130, LANSDOWNE, VA 20176-8264
(571) 239-8206
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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