Organization
WOODBRIDGE DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
14520 SMOKETOWN RD, WOODBRIDGE, VA 22192-4719
(703) 491-4489
Mailing address
14520 SMOKETOWN RD, WOODBRIDGE, VA 22192-4719
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/28/2008
Last updated
07/30/2010
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