Dental Professionals of Virginia, P.c.
NPI #1063167039 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1063167039
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Virginia, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF VIRGINIA, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 17, 2022
- Last Updated
- Feb 17, 2022
Practice Location
- Address
- 12707 RIDGEFIELD VILLAGE DR STE 101
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22193-8915
- Phone
- (571) 989-6570
Authorized Official
- Name
- CELIA HAYES
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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