Organization
GD VA ADE PLLC
Active
Other names
Arlington Dental Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
3301 FAIRFAX DR STE 54, ARLINGTON, VA 22201-4426
(701) 352-5015
Mailing address
3301 FAIRFAX DR STE 54, ARLINGTON, VA 22201-4426
(701) 352-5015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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