Organization
BAILEY ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVINA BAILEY (ORTHODONTIST)
(321) 543-5812
Entity
Organization
Contact information
Practice address
16446 NAVIGATION DRIVE, WOODBRIDGE, VA 22191
(321) 543-5812
Mailing address
15200 LEICESTERSHIRE ST UNIT 219, WOODBRIDGE, VA 22191-5923
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/09/2020
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