Organization
OLD TOWN DENTAL PARTNERS, PC
Active
Other names
Nova Dental Partners
Organization subpart
No
Provider details
NPI number
Authorized official
GENET OSMAN (OFFICE ADMINISTRATOR)
(703) 683-6688
Entity
Organization
Contact information
Practice address
1500 KING ST STE 300, ALEXANDRIA, VA 22314-2730
(703) 683-6688
Mailing address
1500 KING ST STE 300, ALEXANDRIA, VA 22314-2730
(703) 683-6688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
VA
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/06/2012
Last updated
02/01/2023
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