Organization
GREATER PRINCE WILLIAM AREA COMMUNITY HEATLH CENTER
Active
Other names
Greater Prince William Community Health Center Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK PRINCIPI (EXECUTIVE DIRECTOR)
(703) 680-7950
Entity
Organization
Contact information
Practice address
4379 RIDGEWOOD CENTER DR, SUITE 102, WOODBRIDGE, VA 22192-8322
(703) 680-7950
(703) 680-7953
Mailing address
PO BOX 6966, RICHMOND, VA 23230-0966
(804) 237-7690
(804) 237-7697
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
07/22/2010
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