Organization
ADMIRE DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH THEOMAT EUGENE (DDS)
(571) 316-5512
Entity
Organization
Contact information
Practice address
14086 JEFFERSON DAVIS HIGHWAY, WOODBRIDGE, VA 22191-2125
(571) 316-5512
Mailing address
13737 LYNN ST, WOODBRIDGE, VA 22191-2125
(571) 316-5512
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413446
VA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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