Organization
KEVIN JAMES SALINAS, DDS, PC
Active
Other names
My Woodbridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JAMES SALINAS DDS (OWNER/ PRESIDENT)
(202) 230-2579
Entity
Organization
Contact information
Practice address
4893 PRINCE WILLIAM PKWY STE 101, WOODBRIDGE, VA 22192-5404
(703) 494-2226
Mailing address
13175 MARINA WAY APT 509, WOODBRIDGE, VA 22191-1277
(202) 230-2579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401416542
VA DENTAL LICENSE
VA
Enumeration date
07/21/2020
Last updated
07/30/2020
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