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Organization

DENTAL PROFESSIONALS OF VIRGINIA, P.C.

Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Other names
Sonrisas and Smiles Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization

Contact information

Practice address
7015 OLD KEENE MILL RD STE 101, SPRINGFIELD, VA 22150-2805
(703) 879-6939
Mailing address
7015 OLD KEENE MILL RD STE 101, SPRINGFIELD, VA 22150-2805

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/09/2020
Last updated
07/09/2020
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