Organization
GD VA PLLC
Active
Other names
Vienna Smiles, Tyson Smiles, National Landing Smiles, Westover Dentistry, Mosaic Smiles, Tyson's Dental Esthetics, Smiles Specialty Center, Lowes Island Dentistry, Fairfax Dental Esthetics
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROWE (INTEGRATION SPECIALIST)
(610) 243-2018
Entity
Organization
Contact information
Practice address
2553 CHAIN BRIDGE RD, VIENNA, VA 22181-5517
(703) 938-0212
Mailing address
2553 CHAIN BRIDGE ROAD, ATTN: MICHELLE RYAN, VIENNA, VA 22181
(703) 938-0212
(703) 938-2166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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