Organization
HERNDON DENTAL ARTS AT WOODLAND PARK, PLLC
Active
Other names
Dumfries Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BARBOSA (OFFICE MANAGER)
(703) 953-3307
Entity
Organization
Contact information
Practice address
12973 HIGHLAND CROSSING DRIVE, STE B, HERNDON, VA 20171
(703) 953-3307
(703) 953-3308
Mailing address
12973 HIGHLAND CROSSING DRIVE, STE B, HERNDON, VA 20171
(703) 953-3307
(703) 953-3308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413520
VA
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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