Organization
DENTISTRY FOR CHILDREN OF VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE BARTCH (MANAGER)
(404) 389-1950
Entity
Organization
Contact information
Practice address
13015 WORLDGATE DR, HERNDON, VA 20170-4374
(404) 389-1950
Mailing address
1350 SPRING ST NW STE 600, ATLANTA, GA 30309-2870
(404) 389-1950
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401414164
VA
Other
Enumeration date
08/26/2014
Last updated
08/28/2014
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