Organization
JOSEPH D. MADISON, DMD, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH DWAYNE MADISON D.M.D. (PRESIDENT)
(703) 391-8836
Entity
Organization
Contact information
Practice address
11800 SUNRISE VALLEY DR, SUITE 1137, RESTON, VA 20191-5300
(703) 391-8836
(703) 391-6802
Mailing address
11800 SUNRISE VALLEY DR, SUITE 1137, RESTON, VA 20191-5300
(703) 391-8836
(703) 391-6802
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401006578
VA
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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