Organization
WOODBRIDGE ENDODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
12731 MARBLESTONE DR STE 105, WOODBRIDGE, VA 22192-8334
(571) 260-0012
Mailing address
12731 MARBLESTONE DR STE 105, WOODBRIDGE, VA 22192-8334
(571) 260-0012
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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