Organization
THE VIRGINIA ENDODONTIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TU-SON NGO (OWNER)
(703) 378-3115
Entity
Organization
Contact information
Practice address
14149B ROBERT PARIS CT, CHANTILLY, VA 20151-4201
(703) 378-3115
Mailing address
14149B ROBERT PARIS CT, CHANTILLY, VA 20151-4201
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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