Organization
BURKE DENTAL, PLLC
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. JAMES WILLIS DDS (DENTIST/OWNER)
(703) 978-6000
Entity
Organization
Contact information
Practice address
9006 FERN PARK DR., SUITE A, BURKE, VA 22015
(703) 978-6000
Mailing address
9006 FERN PARK DR., SUITE A, BURKE, VA 22015
(703) 978-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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