Organization
DOMINION PLASTIC SURGERY LLC
Active
Other names
Dominion Plastic Surgery Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL GLYNN (COUNSEL)
(703) 884-2399
Entity
Organization
Contact information
Practice address
2755 HARTLAND RD STE 300, FALLS CHURCH, VA 22043-3545
(703) 884-2399
Mailing address
2755 HARTLAND RD STE 300, FALLS CHURCH, VA 22043-3545
(703) 884-2399
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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