Organization
IMPACT DENTAL CARE STAFFORD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PALWINDER KAUR (MANAGER)
(703) 380-1246
Entity
Organization
Contact information
Practice address
315 GARRISONVILLE RD STE 105B, STAFFORD, VA 22554-1543
(540) 930-6500
Mailing address
13308 REGAL CREST DR, CLIFTON, VA 20124-0979
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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