Organization
VALDIVIASMILES
Active
Other names
FamiDental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALDO VALDIVIA (DENTIST)
(703) 952-4003
Entity
Organization
Contact information
Practice address
9554 OLD KEENE MILL RD STE C, BURKE, VA 22015-4287
(703) 952-4003
(571) 281-0001
Mailing address
9554 OLD KEENE MILL RD STE C, BURKE, VA 22015-4287
(703) 952-4003
(571) 281-0001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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