Organization
PRESTIGE DENTAL SPECIALISTS PLLC
Active
Other names
Center for Dentofacial Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRIE LYNCH (DENTAL OFFICE MANAGER)
(703) 256-2556
Entity
Organization
Contact information
Practice address
7630 LITTLE RIVER TPKE, SUE 115, ANNANDALE, VA 22003-2610
(703) 256-2556
(703) 256-7722
Mailing address
7630 LITTLE RIVER TPKE, SUE 115, ANNANDALE, VA 22003-2610
(703) 256-2556
(703) 256-7722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413960
VA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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