Northern Virginia Periodontics, Pllc.
NPI #1023555760 in Falls Church, Virginia
Provider Information
- NPI Number
- 1023555760
- Entity Type
- Organization
- Organization Name
- Northern Virginia Periodontics, Pllc.
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jan 19, 2017
- Last Updated
- Jan 19, 2017
Practice Location
- Address
- 103 W BROAD ST
- Address 2
- STE. 601
- City
- Falls Church
- State
- Virginia
- ZIP Code
- 22046-4235
- Phone
- (703) 534-1766
Authorized Official
- Name
- DR. FRANCISCO TOMAS CARLOS, D.M.D., M.S.D., P.C.
- Title
- PRESIDENT
- Phone
- (703) 534-1766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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