Organization
IMPLANT & DENTAL ART, PLLC
Active
Other names
Implant and Dental Art
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUANLI GUO DMD, MS, PHD (PRESIDENT)
(703) 992-0674
Entity
Organization
Contact information
Practice address
8321 OLD COURTHOUSE RD, SUITE 120, VIENNA, VA 22182-3817
(703) 992-0674
Mailing address
8321 OLD COURTHOUSE RD, SUITE 120, VIENNA, VA 22182-3817
(703) 992-0674
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0401412601
VA
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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