Organization
PETER K COCOLIS, DMD AND ASSOCIATES, PLLC
Active
Parent organization
POTOMAC VALLEY DENTAL CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
POTOMAC VALLEY DENTAL CARE, LLC
Authorized official
DR. PETER KONSTANTINE COCOLIS JR. DMD (DENTIST/OWNER)
(703) 912-3800
Entity
Organization
Contact information
Practice address
5803 ROLLING RD, SUITE 211, SPRINGFIELD, VA 22152-1047
(703) 912-3800
(703) 912-3816
Mailing address
5803 ROLLING RD, SUITE 211, SPRINGFIELD, VA 22152-1047
(703) 912-3800
(703) 912-3816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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