Organization
SOUTH RIDING FAMILY DENTISTRY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY LOAYZA (PRACTICE MGR.)
(703) 327-0327
Entity
Organization
Contact information
Practice address
43063 PEACOCK MARKET PLZ, SUITE 125, SOUTH RIDING, VA 20152-4473
(703) 327-0327
Mailing address
43063 PEACOCK MARKET PLZ, SUITE 125, SOUTH RIDING, VA 20152-4473
(703) 327-0327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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