Organization
TOTALLY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIE KEAT DDS (DENTIST/OWNER)
(703) 212-7070
Entity
Organization
Contact information
Practice address
3223 DUKE ST, SUITE G, ALEXANDRIA, VA 22314-4586
(703) 212-7070
Mailing address
3223 DUKE ST, SUITE G, ALEXANDRIA, VA 22314-4586
(703) 212-7070
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401005912
VA
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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