Organization
GRACE DENTAL OF VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMER JARWA (DENTIST)
(703) 870-7784
Entity
Organization
Contact information
Practice address
4530 WALNEY RD, SUITE 102, CHANTILLY, VA 20151-2284
(703) 870-7784
Mailing address
4530 WALNEY RD, SUITE 102, CHANTILLY, VA 20151-2284
(703) 870-7784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412081
VA
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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