Organization
D&D DENTAL MANASSASS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA DIAZ DDS (OWNER)
(540) 710-0400
Entity
Organization
Contact information
Practice address
8739 PLANTATION LN, MANASSAS, VA 20110-4506
(703) 368-0704
Mailing address
5830 HARRISON RD, FREDERICKSBURG, VA 22407-4202
(540) 710-0400
(540) 710-2322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412527
VA
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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