Organization
DENTAL ONE ASSOCIATES SOUTH RIDING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
25055 RIDING PLZ, 270, CHANTILLY, VA 20152-5917
(703) 491-4489
Mailing address
25055 RIDING PLZ, 270, CHANTILLY, VA 20152-5917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
VA
Other
Enumeration date
07/04/2008
Last updated
10/29/2012
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