Organization
VIRGINIA CENTER FOR COSMETIC AND GENERAL DENTISTRY
Active
Other names
Virginia Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE CHRISTINE HETZ MHA (PRACTICE ADMINISTRATOR)
(703) 577-4317
Entity
Organization
Contact information
Practice address
1025 N FILLMORE ST, SUITE A, ARLINGTON, VA 22201-6701
(703) 243-7744
(703) 243-7745
Mailing address
1025 N FILLMORE ST, SUITE A, ARLINGTON, VA 22201-6701
(703) 243-7744
(703) 243-7745
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401414929
VA
122300000X
Dentist
0401415279
VA
122300000X
Dentist
0401415308
VA
1223G0001X
General Practice Dentistry
Primary
0401413869
VA
1223G0001X
General Practice Dentistry
0401414367
VA
Other
Enumeration date
01/20/2016
Last updated
09/02/2016
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