Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Other names
Smiles at Beauregard Square
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Authorized official
COURTNEY MONTEITH (CREDENTIALING COORDINATOR)
(217) 540-8306
Entity
Organization
Contact information
Practice address
6303 LITTLE RIVER TPKE STE 140, ALEXANDRIA, VA 22312-5045
(703) 256-7700
Mailing address
6303 LITTLE RIVER TPKE STE 140, ALEXANDRIA, VA 22312-5045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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