Organization
MAPLEDALE FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REENA CHAUDHARY (OFFICE MANAGER)
(703) 772-3803
Entity
Organization
Contact information
Practice address
5812 MAPLEDALE PLZ, WOODBRIDGE, VA 22193-4535
(703) 580-9900
Mailing address
5812 MAPLEDALE PLZ, WOODBRIDGE, VA 22193-4535
(703) 772-3803
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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