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Organization

GD VA FAIRLINGTON, PLLC

Active
Other names
Fairlington Dental
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization

Contact information

Practice address
4850 31ST ST S STE A, ARLINGTON, VA 22206-1661
(703) 671-1001
Mailing address
4850 31ST ST S STE A, ARLINGTON, VA 22206-1661
(703) 671-1001

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
11/18/2022
Last updated
11/18/2022
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