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Organization

TOTAL DENTAL WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUNEE SALPETCHNIYOM (DENTIST)
(571) 354-0079
Entity
Organization

Contact information

Practice address
2901 TELESTAR CT # 120, FALLS CHURCH, VA 22042-1260
(571) 354-0079
Mailing address
11306 MEGAN DR, FAIRFAX, VA 22030-5510
(571) 354-0079

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/04/2019
Last updated
06/04/2019
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