Organization
AGAPE DENTAL STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIDIA TEKLE D.D.S (OWNER)
(703) 820-8282
Entity
Organization
Contact information
Practice address
5555 COLUMBIA PIKE, SUITE #102, ARLINGTON, VA 22204-5852
(703) 820-8282
Mailing address
5555 COLUMBIA PIKE, SUITE #102, ARLINGTON, VA 22204-5852
(703) 820-8282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412271
VA
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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