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Organization

BRUCE HANLEY, DDS AND ASSOCIATES, PLLC

Active
Other names
Bruce Hanley, DDS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE HANLEY D.D.S. (OWNER)
(703) 524-7100
Entity
Organization

Contact information

Practice address
2501 N GLEBE RD, SUITE #200, ARLINGTON, VA 22207-3558
(703) 524-7100
(703) 524-3523
Mailing address
2501 N GLEBE RD, SUITE #200, ARLINGTON, VA 22207-3558
(703) 524-7100
(703) 524-3523

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401006818
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1427097161
INDIVIDUAL NPI
VA
Enumeration date
05/22/2007
Last updated
08/22/2020
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