Organization
ALEXANDRIA PEDIATRIC DENTISTRY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WONG LOPEZ D.M.D, M.P.H. (OWNER)
(571) 257-5744
Entity
Organization
Contact information
Practice address
3223 DUKE ST, SUITE A, ALEXANDRIA, VA 22314-4586
(571) 257-5744
(571) 257-5759
Mailing address
3223 DUKE ST, SUITE A, ALEXANDRIA, VA 22314-4586
(571) 257-5744
(571) 257-5759
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414156
VA
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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