Organization
PDC PEDIATRIC DENTAL CARE PLLC
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
9901 FAIRFAX BLVD, FAIRFAX, VA 22030-1740
(703) 383-3434
Mailing address
9901 FAIRFAX BLVD, FAIRFAX, VA 22030-1740
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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