Potomac Valley Dental Care Pllc

NPI #1013387737 in Centreville, Virginia

Provider Information

NPI Number: 1013387737
Entity Type: Organization
Organization Name: Potomac Valley Dental Care Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 7, 2015
Last Updated: Oct 7, 2015

Practice Location

Address: 14245P CENTREVILLE SQ
City: Centreville
State: Virginia
ZIP Code: 20121-2368
Phone: (703) 830-9110

Authorized Official

Name: DR. MICHAEL HARKINS GORMAN, DDS
Title: DENTIST
Phone: (703) 830-9110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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