Organization
POTOMAC ORTHODONTICS PLLC
Active
Other names
Potomac Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA HUTCHISON D.D.S (ORTHODONTIST)
(703) 494-9118
Entity
Organization
Contact information
Practice address
2200 OPITZ BLVD, SUITE 370, WOODBRIDGE, VA 22191-3321
(703) 494-9118
Mailing address
2200 OPITZ BLVD, SUITE 370, WOODBRIDGE, VA 22191-3321
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401413821
VA
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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