Organization
SUNRISE VALLEY DENTAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA M LOAYZA (ADMINISTRATOR)
(703) 451-8332
Entity
Organization
Contact information
Practice address
12950 HIGHLAND CROSSING DR STE F, HERNDON, VA 20171-5888
(703) 787-9670
Mailing address
12950 HIGHLAND CROSSING DR STE F, HERNDON, VA 20171-5888
(703) 787-9670
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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