Organization
POTOMAC MILLS FAMILY DENTAL
Active
Parent organization
LANDMARK FAMILY DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
LANDMARK FAMILY DENTAL
Authorized official
DR. KERI TRAN DDS (DENTIST)
(703) 658-3000
Entity
Organization
Contact information
Practice address
14338 GIDEON DR, WOODBRIDGE, VA 22192-4640
(703) 348-8070
Mailing address
14338 GIDEON DR, WOODBRIDGE, VA 22192-4640
(703) 348-8070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412117
VA
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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