Organization
ALEXANDRIA CHILDREN'S DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA LANI AUSTIN DMD (PRACTICE OWNER)
(703) 942-8404
Entity
Organization
Contact information
Practice address
6303 LITTLE RIVER TURNPIKE, SUITE 160, ALEXANDRIA, VA 22312
(703) 942-8404
(703) 890-8726
Mailing address
6303 LITTLE RIVER TURNPIKE, SUITE 160, ALEXANDRIA, VA 22312
(703) 942-8404
(703) 890-8726
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
0401411222
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007687648
—
VA
Enumeration date
10/03/2015
Last updated
11/16/2022
Update your record
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