Organization
COLUMBIA PIKE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY O NGUYEN (OFFICE MANAGER)
(703) 820-8282
Entity
Organization
Contact information
Practice address
5555 COLUMBIA PIKE STE 102, ARLINGTON, VA 22204-3117
(703) 820-8282
(703) 820-8283
Mailing address
5555 COLUMBIA PIKE STE 102, ARLINGTON, VA 22204-3117
(703) 820-8282
(703) 820-8283
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040112610
VA
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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