Organization
PARKER-GRAY PEDIATRIC DENTAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KESHA STEPHENSON (DDS/OWNER)
(301) 651-9592
Entity
Organization
Contact information
Practice address
224 N FAYETTE ST, ALEXANDRIA, VA 22314-2433
(703) 519-7275
(703) 519-7276
Mailing address
224 N FAYETTE ST, ALEXANDRIA, VA 22314-2433
(703) 519-7275
(703) 519-7276
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401413943
VA
Other
Enumeration date
03/01/2014
Last updated
03/01/2014
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