Organization
VIRGINIA FAMILY & COSMETIC DENTISTRY
Active
Other names
Stone Ridge Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA FLORES (OFFICE MANAGER)
(703) 327-0190
Entity
Organization
Contact information
Practice address
24585 STONE CARVER DRIVE, SUITE 225, ALDIE, VA 20105
(703) 327-0190
(703) 327-0129
Mailing address
24585 STONE CARVER DRIVE, SUITE 225, ALDIE, VA 20105
(703) 327-0190
(703) 327-0129
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
040141211
VA
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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