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Organization

DRS. WOO & ULLRICH - NOVA PDO, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING MANAGER)
(612) 859-0444
Entity
Organization

Contact information

Practice address
21785 FILIGREE CT STE 208, ASHBURN, VA 20147-6214
(703) 729-7005
Mailing address
21785 FILIGREE CT STE 208, ASHBURN, VA 20147-6214
(703) 729-7005

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1223P0221X
Pediatric Dentistry

Other

Enumeration date
09/13/2021
Last updated
09/13/2021
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