Organization
V CARE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAN SHU DDS (DENTIST)
(703) 815-0007
Entity
Organization
Contact information
Practice address
14631 LEE HWY, 117, CENTREVILLE, VA 20121-5824
(703) 815-0007
(703) 815-0008
Mailing address
14631 LEE HWY, 117, CENTREVILLE, VA 20121-5824
(703) 815-0007
(703) 815-0008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412006
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9219161
—
VA
Enumeration date
05/25/2011
Last updated
05/25/2011
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