General and Cosmetic Dentistry

NPI #1093154106 in Vienna, Virginia

Provider Information

NPI Number: 1093154106
Entity Type: Organization
Organization Name: General and Cosmetic Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 21, 2013
Last Updated: Jun 21, 2013

Practice Location

Address: 8310 OLD COURTHOUSE RD STE A
City: Vienna
State: Virginia
ZIP Code: 22182-3872
Phone: (703) 356-0250

Authorized Official

Name: DR. GEITH J KALLAS
Title: PRESIDENT
Phone: (703) 356-0250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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