Organization
PRINCE WILLIAM HEALTH DISTRICT DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON ANSHER MD MPH (HEALTH DIRECTOR)
(703) 792-7300
Entity
Organization
Contact information
Practice address
13792 SMOKETOWN RD, WOODBRIDGE, VA 22192
(703) 792-7300
(703) 792-7311
Mailing address
13792 SMOKETOWN RD, WOODBRIDGE, VA 22192
(703) 792-7300
(703) 792-7311
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9177545
—
VA
Enumeration date
10/02/2006
Last updated
08/22/2020
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