Organization
GROVE DENTAL CLINIC
Active
Other names
McLean Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ERIKA NAUPARI DE NUNEZ (CREDENTIALING)
(703) 866-8096
Entity
Organization
Contact information
Practice address
8355B GREENSBORO DR, MC LEAN, VA 22102-3530
(703) 866-8096
(703) 866-8097
Mailing address
8355B GREENSBORO DR, MC LEAN, VA 22102-3530
(703) 866-8096
(703) 866-8097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
VA
Other
Enumeration date
03/29/2017
Last updated
04/08/2017
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