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Organization

DENTAL SERVICES DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLORIA MARIA CAMPOS VASQUEZ DDS (OWNER)
(703) 280-1300
Entity
Organization

Contact information

Practice address
3918 PROSPERITY AVE STE 203, FAIRFAX, VA 22031-3333
(703) 280-1300
Mailing address
3918 PROSPERITY AVE STE 203, FAIRFAX, VA 22031-3333
(703) 280-1300

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/16/2021
Last updated
09/16/2021
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