Organization
NORTHERN VIRGINIA DENTAL ARTS PC
Active
Other names
Northern Virginia Dental Arts - Stafford
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KERNER (DIRECTOR)
(703) 629-5847
Entity
Organization
Contact information
Practice address
400 CORPORATE DR, SUITE 200, STAFFORD, VA 22554-4896
(703) 291-5738
Mailing address
400 CORPORATE DR, SUITE 200, STAFFORD, VA 22554-4896
(703) 291-5738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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