Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Other names
Dental Care of Springfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Authorized official
CARMEN WOODS (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
6671B BACKLICK RD, SUITE 15-17, SPRINGFIELD, VA 22150-2702
(703) 992-7050
(703) 992-7456
Mailing address
6671B BACKLICK RD, SUITE 15-17, SPRINGFIELD, VA 22150-2702
(703) 992-7050
(703) 992-7456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/29/2012
Last updated
01/11/2014
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