Organization
DALE P SHEWMAKER DDS PC
Active
Parent organization
POTOMAC VALLEY DENTAL CARE, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
POTOMAC VALLEY DENTAL CARE, PLLC
Authorized official
DR. DALE P SHEWMAKER DDS (DENTIST/OWNER)
(703) 385-6960
Entity
Organization
Contact information
Practice address
10623 BRADDOCK RD, FAIRFAX, VA 22032-2202
(703) 385-6960
Mailing address
10623 BRADDOCK RD, FAIRFAX, VA 22032-2202
(703) 385-6960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005882
VA
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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