Organization
GD VA WEST SPRINGFIELD PLLC
Active
Other names
West Springfield Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
6116 ROLLING RD STE 316, SPRINGFIELD, VA 22152-1512
(703) 451-8332
Mailing address
6116 ROLLING RD STE 316, SPRINGFIELD, VA 22152-1512
(703) 451-8332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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