Organization
GALLERIA DENTAL OF ALEXANDRIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE LEE THOMAS (OFFICE MANAGER)
(703) 615-6710
Entity
Organization
Contact information
Practice address
3223 DUKE ST STE G, ALEXANDRIA, VA 22314-4555
(703) 212-7070
Mailing address
3223 DUKE ST STE G, ALEXANDRIA, VA 22314-4555
(703) 212-7070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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