Organization
ALEXANDRIA ADVANCED DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YODIT BEYENE D.D.S. (OWNER)
(703) 751-7300
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE, SUITE #318, ALEXANDRIA, VA 22304-1313
(703) 751-7300
Mailing address
4660 KENMORE AVE, SUITE #318, ALEXANDRIA, VA 22304-1313
(703) 751-7300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041411010
VA
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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