Organization
GROVE DENTAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAQSOOD AHMED CHAUDHRY DDS (PRESIDENT)
(703) 578-0000
Entity
Organization
Contact information
Practice address
3400 PAYNE ST, SUITE # 101, FALLS CHURCH, VA 22041-2313
(703) 578-0000
(703) 578-8200
Mailing address
3400 PAYNE ST, SUITE # 101, FALLS CHURCH, VA 22041-2313
(703) 578-0000
(703) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007713
VA
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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