Organization
AQUIA DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AICHA LYAZIDI DDS (OWNER)
(540) 720-8630
Entity
Organization
Contact information
Practice address
2712 JEFFERSON DAVIS HWY, SUITE 201, STAFFORD, VA 22554-1733
(540) 720-8630
(540) 720-8632
Mailing address
2712 JEFFERSON DAVIS HWY, SUITE 201, STAFFORD, VA 22554-1733
(540) 720-8630
(540) 720-8632
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401410695
VA
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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