Organization
KEVIN MENDES, D.D.S. & ASSOCIATES, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN C MENDES D.D.S. (OWNER)
(703) 368-4725
Entity
Organization
Contact information
Practice address
8404 DORSEY CIR, MANASSAS, VA 20110-4592
(703) 368-4725
Mailing address
8404 DORSEY CIR, MANASSAS, VA 20110-4592
(703) 368-4725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401401782
VA
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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