Park Avenue Dental Pllc
NPI #1043947849 in Falls Church, Virginia
Provider Information
- NPI Number
- 1043947849
- Entity Type
- Organization
- Organization Name
- Park Avenue Dental Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 2, 2022
- Last Updated
- Aug 2, 2022
Practice Location
- Address
- 313 PARK AVE STE 101
- City
- Falls Church
- State
- Virginia
- ZIP Code
- 22046-3303
- Phone
- (703) 409-1700
Authorized Official
- Name
- GEITH KALLAS, DDS
- Title
- OWNER
- Phone
- (703) 622-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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