Organization
VIDA ASIAMAH DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
21 LOUDOUN ST SE, LEESBURG, VA 20175-3012
(703) 777-4443
Mailing address
21 LOUDOUN ST SE, LEESBURG, VA 20175-3012
(703) 777-4443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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