Organization
CENTREVILLE DENTAL WELLNESS CENTER,PC.
Active
Other names
Centreville Dental Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENA VAKAY DDS (PRESIDENT)
(703) 815-0775
Entity
Organization
Contact information
Practice address
14245F CENTREVILLE SQ, CENTREVILLE, VA 20121-2368
(703) 815-0775
(703) 222-7557
Mailing address
14245F CENTREVILLE SQ, CENTREVILLE, VA 20121-2368
(703) 815-0775
(703) 222-7557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006027
VA
Other
Enumeration date
08/29/2011
Last updated
11/10/2011
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