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Organization

NORTHERN VIRGINIA DENTAL ASSOCIATES, PC

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
CYNTHIA LOAYZA (ADMINISTRATOR)
(703) 451-8332
Entity
Organization

Contact information

Practice address
6116 ROLLING RD, SUITE 316, SPRINGFIELD, VA 22152-1521
(703) 451-8332
(703) 451-4661
Mailing address
6116 ROLLING RD, SUITE 316, SPRINGFIELD, VA 22152-1521
(703) 451-8332
(703) 451-4661

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/27/2015
Last updated
10/27/2015
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