Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Other names
New Horizons Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Authorized official
KIM WILSON (CRED. SUPERVISOR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
1020 ELDEN ST, SUITE 106, HERNDON, VA 20170-3843
(703) 955-4221
Mailing address
1020 ELDEN ST, SUITE 106, HERNDON, VA 20170-3843
(703) 955-4221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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