Organization
DICKSON DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE NICHOLS DICKSON D.M.D. (OWNER/DENTIST)
(571) 481-4410
Entity
Organization
Contact information
Practice address
5962 RICHMOND HWY, ALEXANDRIA, VA 22303-1871
(571) 481-4410
(571) 481-4413
Mailing address
5962 RICHMOND HWY, ALEXANDRIA, VA 22303-1871
(571) 481-4410
(571) 481-4413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410681
VA
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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