Organization
ISLAND CHILDRENS DENTISTRY PLLC
Active
Other names
Island Childrens Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GEMA ISLAND DDS (OWNER)
(703) 790-1320
Entity
Organization
Contact information
Practice address
1500 CORNERSIDE BLVD STE 310, VIENNA, VA 22182-2438
(703) 790-1320
(703) 790-0455
Mailing address
1500 CORNERSIDE BLVD STE 310, VIENNA, VA 22182-2438
(703) 790-1320
(703) 790-0455
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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