Organization
GROVE DENTAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAQSOOD A CHAUDHRY DDS (CEO)
(703) 578-8888
Entity
Organization
Contact information
Practice address
8270 GREENSBORO DR, SUITE NUMBER 101, MC LEAN, VA 22102-3800
(703) 578-8888
(866) 229-6889
Mailing address
8270 GREENSBORO DR, SUITE NUMBER 101, MC LEAN, VA 22102-3800
(703) 578-8888
(866) 229-6889
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
0401414938
VA
1223G0001X
General Practice Dentistry
Primary
0401007713
VA
1223P0300X
Periodontics
0401414676
VA
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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