Organization
WALNUT DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLIN S HENRY DDS (MEMBER)
(703) 638-1420
Entity
Organization
Contact information
Practice address
3930 WALNUT ST STE 240, FAIRFAX, VA 22030-4738
(703) 638-1420
(703) 638-1421
Mailing address
3930 WALNUT ST STE 240, FAIRFAX, VA 22030-4738
(703) 638-1420
(703) 638-1421
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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